Individual
AIDAN JOHN BURR GLAUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
Mailing address
12833 AMETHYST RD, VICTORVILLE, CA 92392-8626
(760) 912-2084
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86144891
CA
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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