Individual
MARIBETH VILLAGOMEZ MANIBUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 LOWER NAVY HILL ROAD, SAIPAN, MP 96950
(670) 234-8950
Mailing address
PO BOX 500409 CK, SAIPAN, MP 96950
(670) 234-8950
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1019219
CA
Other
Enumeration date
08/31/2010
Last updated
07/21/2022
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