Individual
MRS. DIANE C MAESTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1501 SAN PEDRO DR NE, NM VA HEALTH CARE SYSTEM (501), ALBUQUERQUE, NM 87108-5128
(505) 265-1711
Mailing address
1501 SAN PEDRO DR NE, NM VA HEALTH CARE SYSTEM (501), ALBUQUERQUE, NM 87108-5128
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD0754
NM
Other
Enumeration date
02/17/2010
Last updated
08/09/2011
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