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Individual

EDITZEL MARIE MARTINEZ SOBERAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LND

Contact information

Practice address
CARR 2 KM 93.1, BO MEMBRILLO, CAMUY, PR 00627
(787) 560-4592
Mailing address
HC 5 BOX 25895, CAMUY, PR 00627-9484
(787) 560-4592

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
PR

Other

Enumeration date
11/10/2020
Last updated
09/02/2022
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