Organization
MARY ELLEN B NUTRITION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN BANEVEDES RDN, CDCES (OWNER)
(559) 572-2990
Entity
Organization
Contact information
Practice address
101 N IRWIN ST STE 205A, HANFORD, CA 93230-4579
(559) 572-2990
(877) 655-6301
Mailing address
101 N IRWIN ST STE 205A, HANFORD, CA 93230-4579
(559) 572-2990
(877) 655-6301
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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