Individual
ILONA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CNSC
Contact information
Practice address
1454 S COUNTY TRL, EAST GREENWICH, RI 02818-1749
(401) 444-0931
Mailing address
117 ELLENFIELD ST, PROVIDENCE, RI 02905-4541
(401) 444-5640
(401) 444-5462
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
LDN01030
RI
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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