Individual
MEAGAN MARIE MAGGIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1617 N CALIFORNIA ST STE 2G, STOCKTON, CA 95204-6117
(209) 461-5268
Mailing address
1617 N CALIFORNIA ST STE 2G, STOCKTON, CA 95204-6117
(209) 461-5268
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86030507
CA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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