Most Relevant Information
Provider Data
NPI Number: | 1003289794 |
Provider Name: | MARIA CONSUELO CASTELAN RD |
Entity Type: | Individual |
Taxonomy Code: | 133V00000X |
Specialty: | Dietitian, Registered |
License Number: | 86037872 |
Most Important Dates
Enumeration Date: | 11/04/2015 |
Last Updated: | 09/12/2020 |
Provider Practice Location
1798 N GAREY AVE
POMONA
CA
917672918
Practice Location Phone/Fax
Phone: | 9095285046 |
Fax: |
Provider Mailing Location
1798 N GAREY AVE
POMONA
CA
917672918
Provider Mailing Phone/Fax
Phone: | 9098659500 |
Fax: |