Individual
EMILY JO MATNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
7634 GUNYON DR, INDIANAPOLIS, IN 46237-9388
(317) 888-4422
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
916963
IN
Other
Enumeration date
09/06/2009
Last updated
09/06/2009
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