Individual
MARTIN ERASMO DEL REAL NAVARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 545-7542
Mailing address
490 DUSCOE ST, COLLIERVILLE, TN 38017-2408
(707) 720-6026
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3977
TN
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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