Individual
BIANCA LIZETT AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
11130 ANDERSON ST, LOMA LINDA, CA 92350-1729
(909) 558-8161
Mailing address
9610 REDWOOD AVE, FONTANA, CA 92335-5318
(909) 452-9272
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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