Individual
KERI J MARACCHINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
Mailing address
7239 WASILLA DR NE, RIO RANCHO, NM 87144-5391
(505) 615-7920
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0991
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49339567
—
NM
Enumeration date
01/05/2017
Last updated
11/19/2024
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