MR. Earl Justin Macaso, R.D.
NPI #1386961456 in San Dimas, California
Provider Information
- NPI Number
- 1386961456
- Entity Type
- Individual
- Name
- MR. Earl Justin Macaso, R.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- R.D.
- Enumeration Date
- Apr 28, 2010
- Last Updated
- Apr 28, 2010
Practice Location
- Address
- 1350 W COVINA BLVD
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3245
- Phone
- (909) 581-4324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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