Individual
BLANCA AESPURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 853-7084
Mailing address
6260 ELESA WAY, FONTANA, CA 92336-1050
(909) 579-7121
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86010161
CA
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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