Individual
DR. MADONNA M MAMEROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RDN, LD
Contact information
Practice address
2600 S SHORE BLVD STE 300, LEAGUE CITY, TX 77573-2944
(281) 436-9668
(833) 259-9548
Mailing address
PO BOX 433, GALVESTON, TX 77553-0433
(281) 436-9668
(833) 259-9548
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86015
TX
Other
Enumeration date
06/28/2019
Last updated
09/03/2022
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