Individual
MS. MARISSA MARIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
646 S FLORES ST, SAN ANTONIO, TX 78204-1219
(855) 481-1149
Mailing address
646 S FLORES ST, SAN ANTONIO, TX 78204-1219
(855) 481-1149
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86050978
TX
Other
Enumeration date
02/06/2019
Last updated
04/20/2022
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