Individual
LYNNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
523 4TH ST, SUITE 100, SAN RAFAEL, CA 94901-3310
(415) 505-2387
Mailing address
523 4TH ST, SUITE 100, SAN RAFAEL, CA 94901-3310
(415) 505-2387
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
953786
CA
Other
Enumeration date
05/31/2010
Last updated
02/03/2015
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