Search › California › 133V00000X
Mariam Boulas, MS RD
NPI 1033493606 · on the registry since 2011 · sole proprietor
Practice
- Address
- 43112 15th St W # 93534
Lancaster, CA 93534 - Phone
- (661) 726-2222
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California