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Individual

MR. LUIS ALONSO CORADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD, CNSD

Contact information

Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-3751
Mailing address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-3751

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
894025
CA

Other

Enumeration date
10/30/2007
Last updated
10/30/2007
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