Individual
MARY BIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD.
Contact information
Practice address
17909 SOLEDAD CANYON RD, CANYON COUNTRY, CA 91387-3210
(661) 250-5276
(661) 250-5253
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5691
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
725659
CA
Other
Enumeration date
07/17/2006
Last updated
03/26/2014
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