Individual
MARIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
686 SUNSET RD., CARNELIAN BAY, CA 96140-0127
(530) 412-1546
Mailing address
PO BOX 127, CARNELIAN BAY, CA 96140-0127
(530) 412-1546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
710372
CA
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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