EARL JUSTIN MACASO

SAN DIMAS, CA
NPI1386961456
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  1014480)
Enumeration Date2010-04-28
Last Update Date2010-04-28
Business Address
Mr. EARL JUSTIN MACASO R.D.
1350 W COVINA BLVD
SAN DIMAS, CA 91773-3245
Phone number: 909-581-4324
Mailing Address
Mr. EARL JUSTIN MACASO R.D.
10400 VIA PALMA
MONTCLAIR, CA 91763-4751
Phone number: