Individual
MRS. MARIAN HOLTON-MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
6401 DYLYN DR, MADISON, WI 53719-4809
(608) 335-4496
Mailing address
6401 DYLYN DR, MADISON, WI 53719-4809
(608) 335-4496
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
MSHN
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHSN
MASTER IN HOLISTIC NUTRITION
—
Enumeration date
06/24/2022
Last updated
06/24/2022
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