Individual
MRS. BANSARI J KHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CDE
Contact information
Practice address
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM /120, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
3100 CHINO HILLS PKWY UNIT 336, CHINO HILLS, CA 91709-4284
(909) 319-8268
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
887018
—
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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