Organization
HOMEGROWN NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LYNN EMERICK MS, RDN, LD (REGISTERED DIETITIAN)
(484) 626-0758
Entity
Organization
Contact information
Practice address
820 W HIND DR UNIT 240343, HONOLULU, HI 96824-1813
(484) 626-0758
(484) 379-0069
Mailing address
820 W HIND DR UNIT 240343, HONOLULU, HI 96824-1813
(484) 626-0758
(484) 379-0069
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457092827
DIETITIAN
PA
Enumeration date
03/01/2023
Last updated
03/18/2024
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