Individual
VIRGINIA MARIE MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
801 ENCINO PL NE BLDG F, ALBUQUERQUE, NM 87102-2612
(505) 272-1312
Mailing address
1129 QUINCY ST SE, ALBUQUERQUE, NM 87108-4521
(505) 925-1866
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 0727
NM
Other
Enumeration date
08/19/2008
Last updated
01/30/2013
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