Individual
MS. MAUREEN ANN EYERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CDE
Contact information
Practice address
929 ISABELLA WAY, SAN LUIS OBISPO, CA 93405-6186
(805) 547-1946
Mailing address
929 ISABELLA WAY, SAN LUIS OBISPO, CA 93405-6186
(805) 547-1946
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
656221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
656221
LICENSE #
CA
Enumeration date
11/15/2011
Last updated
11/15/2011
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