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Individual

MS. MARTHA MAGDELINE DOLENC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CNSD

Contact information

Practice address
124 W THOMAS RD, PHOENIX, AZ 85013-4405
(602) 406-6463
Mailing address
124 W THOMAS RD, PHOENIX, AZ 85013-4405
(602) 406-6463

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
595804-R

Other

Enumeration date
10/28/2008
Last updated
10/28/2008
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