Individual
GUILLERMO MALFAVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2526
Mailing address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2526
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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