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Individual

JOHN RAIMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDN

Contact information

Practice address
130 BRENTWOOD DR., CHESTER, CA 96020
(530) 258-3981
(530) 258-4248
Mailing address
PO BOX 3315, QUINCY, CA 95971-3315
(775) 250-7579
(530) 258-3981

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
133V00000X
Registered Dietitian
810702
CA

Other

Enumeration date
01/28/2016
Last updated
01/28/2016
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