Individual
RICKY MARDEROSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(714) 470-0423
Mailing address
2222 W SOMBRA AVE, APACHE JUNCTION, AZ 85120-1191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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