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Individual

JAVIER SANDOVAL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDN

Contact information

Practice address
516 S LINDEN AVE, BLOOMINGTON, CA 92316-1221
(909) 200-8024
Mailing address
516 S LINDEN AVE, BLOOMINGTON, CA 92316-1221
(909) 200-8024

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86082749
CA

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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