Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Mariam Boulas, MSRD

Individual provider Registered Dietitian · NPI 1033493606

Miss. Mariam Boulas, MSRD is a Registered Dietitian in Lancaster, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
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Practice location Address checks out

43112 15th St W # 93534
Lancaster, CA 93534-6219
Phone: (661) 726-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 999205 (CA)

Record details

NPI number1033493606
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRD
Sole proprietorYes
NPI enumeratedSeptember 30, 2011
Last updated in NPPESSeptember 30, 2011

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