DIANE BASURTO

IRVINE, CA
NPI1316501539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  893310)
Enumeration Date2019-04-23
Last Update Date2019-04-23
Business Address
DIANE BASURTO RD
19722 MACARTHUR BLVD
IRVINE, CA 92612-2404
Phone number: 949-824-9002
Mailing Address
DIANE BASURTO RD
19722 MACARTHUR BLVD
IRVINE, CA 92612-2404
Phone number: 949-824-9002