Individual
MIRNA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-4293
(612) 727-5997
Mailing address
4904 E 53RD ST, MINNEAPOLIS, MN 55417-2342
(612) 724-6977
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2524
MN
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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