Individual
MR. MARK ANTON PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., R.D., C.N.I.S.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 422-3108
Mailing address
VA LOMA LINDA HEALTHCARE SYSTEM (120), 11201 BENTON STREET, LOMA LINDA, CA 92357-0001
(909) 825-7084
(909) 422-3108
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/18/2007
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