Individual
MAYRA ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
800 N MAIN ST, SANTA ANA, CA 92701-3576
(714) 480-2436
Mailing address
800 N MAIN ST, SANTA ANA, CA 92701-3576
(714) 480-2436
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86063449
CA
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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