Individual
MARLENE CEBALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAS, RD, IBCLC
Contact information
Practice address
2731 SYSTRON DR STE 200, CONCORD, CA 94518-1355
(925) 655-1700
Mailing address
2731 SYSTRON DR STE 200, CONCORD, CA 94518-1355
(925) 646-1700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86016803
CA
174N00000X
Lactation Consultant (Non-RN)
L-307963
CA
Other
Enumeration date
02/10/2022
Last updated
05/26/2026
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