POURAN ETEZADI

FRESNO, CA
NPI1497367452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  725669)
Enumeration Date2020-08-20
Last Update Date2020-08-20
Business Address
Ms. POURAN ETEZADI RD
7300 N FRESNO ST
FRESNO, CA 93720-2941
Phone number: 559-349-4897
Mailing Address
Ms. POURAN ETEZADI RD
1632 E WATERFORD AVE
FRESNO, CA 93720-4232
Phone number: 559-349-4897