Individual
MARY ELLEN BANEVEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CDCES
Contact information
Practice address
101 N IRWIN ST STE 205A, HANFORD, CA 93230-4579
(559) 572-2990
(877) 655-6301
Mailing address
2401 TEAKWOOD CT, HANFORD, CA 93230-7230
(559) 572-2990
(877) 655-6301
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
836115
—
Other
Enumeration date
10/14/2008
Last updated
12/27/2022
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