Macaso, Earl Justin

Macaso, Earl Justin is an sole proprietor health care provider with primary practice located at 1350 W Covina Blvd , San Dimas CA 91773-3245. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Macaso, Earl Justin can be contacted via phone (909) 581-4324.

Contact Information

Primary practice address
1350 W Covina Blvd San Dimas CA 91773-3245
Phone: (909) 581-4324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1014480 California

Profile Details

NPI number 1386961456
LBN Legal business name Macaso, Earl Justin
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2010
Last updated Apr 28th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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