Individual
MRS. DONNA MARIE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
765 W COLLEGE ST, LOS ANGELES, CA 90012-1181
(213) 580-7295
(213) 580-7386
Mailing address
2513 EL PASEO, ALHAMBRA, CA 91803-4210
(213) 580-7295
(213) 580-7386
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R00426015
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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