Individual
CANDACE MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
620 WOODLAND KNOLLS RD, GERMANTOWN HILLS, IL 61548-9429
(815) 954-8742
Mailing address
595 PACIFIC AVE, SAN FRANCISCO, CA 94133-4681
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
164009704
IL
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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