Organization
LIVE NOURISHED TODAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERISA L MARTINEZ RDN, LD (MANAGER, OWNER)
(512) 785-2264
Entity
Organization
Contact information
Practice address
1213 RAINBOW PARKE DR, ROUND ROCK, TX 78665-8021
(512) 785-2264
Mailing address
1213 RAINBOW PARKE DR, ROUND ROCK, TX 78665-8021
(512) 785-2264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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