Individual
MARNYA DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1151 PALAU RD, CORONADO, CA 92118-3119
(619) 319-5535
Mailing address
1151 PALAU RD, CORONADO, CA 92118-3119
(619) 319-5535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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