Individual
ANDREA C BLONSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, MBA
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
RD017713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RD017713
STATE LICENSE
CA
Enumeration date
11/29/2006
Last updated
03/04/2020
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