Individual
THERESE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
141 S POPLAR ST APT D, SPOKANE, WA 99201-5850
(360) 790-9976
Mailing address
141 S POPLAR ST APT D, SPOKANE, WA 99201-5850
(360) 790-9976
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86057783
WA
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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