Individual
MARY MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5 CARLSON AVE, SAN ANSELMO, CA 94960-1306
(415) 342-8229
Mailing address
5 CARLSON AVE, SAN ANSELMO, CA 94960-1306
(415) 342-8229
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
CA
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
07/31/2025
Last updated
09/02/2025
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