Individual
MS. CARLY DENISE MAITLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9961 SIERRA AVE, FOOD AND NUTRITION SERVICES, FONTANA, CA 92335
(909) 427-7185
Mailing address
6153 PERIDOT AVE, ALTA LOMA, CA 91701
(909) 427-7185
(909) 427-4151
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00966300
CA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us