Individual
EDNA CATALINA PORTILLO DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
801 W VALLEY BLVD STE 206, ALHAMBRA, CA 91803-3257
(626) 283-5128
Mailing address
801 W VALLEY BLVD STE 206, ALHAMBRA, CA 91803-3257
(626) 283-5128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1024132
CA
Other
Enumeration date
11/30/2018
Last updated
08/20/2019
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