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ESTRELLITA ANDAL HERMOGENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
765 W COLLEGE ST, LOS ANGELES, CA 90012-1181
(213) 580-7299
Mailing address
13698 BALBOA CT, FONTANA, CA 92336-3401
(909) 899-7502

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
407875
CA

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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