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Individual

EMILY BANSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2598 MAIN ST, MORRO BAY, CA 93442-1553
(805) 305-9911
(833) 264-5898
Mailing address
1209 MEADOW VIEW RD, PASADENA, MD 21122-2416
(414) 379-7909

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86034502

Other

Enumeration date
03/03/2025
Last updated
03/03/2025
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