Individual
MARA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 W CESAR CHAVEZ BLVD, FRESNO, CA 93706
(559) 493-4400
Mailing address
3052 CAPISTRANO DR, MADERA, CA 93637-8855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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