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Individual
MARSHA M FENDLEY
Active
Individual
MARSHA M FENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
130
AL
133VN1006X
Metabolic Nutrition Registered Dietitian
130
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0972-0106
DIABETES EDUCATION CERTIF
AL
01
—
130
DIETITIAN LICENSE
AL
01
—
467211
NATIONAL REGISTRATION NO.
—
Enumeration date
06/07/2007
Last updated
06/19/2014
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