Individual
MARIA JIMENA BLANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 728-0411
Mailing address
1909 SCENIC DR APT 202, MODESTO, CA 95355-4937
(209) 765-2305
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1082172
CA
Other
Enumeration date
09/08/2016
Last updated
03/31/2021
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