Individual
LORRAINE MAE PASAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11328 MERIDAN WAY, RIVERSIDE, CA 92505-2275
(951) 858-2004
Mailing address
11328 MERIDAN WAY, RIVERSIDE, CA 92505-2275
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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