Individual
MARTHA IMELDA HUIZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CLC
Contact information
Practice address
851 N MAIN ST STE 1&3, SAN LUIS, AZ 85336-0685
(928) 920-4584
Mailing address
1479 N ARDEN AVE # 3471, SAN LUIS, AZ 85336-0768
(928) 920-4584
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1301X
Oncology Nutrition Registered Dietitian
—
—
133VN1401X
Pediatric Critical Care Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105437
COMMISSION ON DIETETIC REGISTRATION - REGISTERED DIETITIAN
AZ
Enumeration date
12/30/2016
Last updated
03/20/2022
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