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1972810059
MILLICENT SANTOS ELIZALDE
RIVERSIDE, CA
NPI
1972810059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 995195)
Enumeration Date
2010-09-10
Last Update Date
2011-09-10
Business Address
Miss MILLICENT SANTOS ELIZALDE M.S., R.D.
11161 MAGNOLIA AVE
RIVERSIDE, CA 92505-3605
Phone number: 951-351-8090
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Mailing Address
Miss MILLICENT SANTOS ELIZALDE M.S., R.D.
11161 MAGNOLIA AVE
RIVERSIDE, CA 92505-3605
Phone number: 951-351-8090
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