Individual
DANIELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNTP
Contact information
Practice address
155 SW CENTURY DR STE 104, BEND, OR 97702-1657
(707) 540-4541
Mailing address
PO BOX 211, SILVER LAKE, OR 97638-0211
(707) 540-4541
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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