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Individual

ANTHONY JOHN ZAMORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
11799532-4901
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86097524
COMMISSION ON DIETETIC REGISTRATION
Enumeration date
07/14/2021
Last updated
07/14/2021
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