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1770147829
CHRISTINA MARIE FASULO
LOS ANGELES, CA
NPI
1770147829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 86048802)
Enumeration Date
2019-04-24
Last Update Date
2023-09-01
Business Address
Miss CHRISTINA MARIE FASULO MS RD
100 UCLA MEDICAL PLAZA SUITE 345
LOS ANGELES, CA 90095-1804
Phone number: 310-208-5400
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Mailing Address
Miss CHRISTINA MARIE FASULO MS RD
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707
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