Individual
MS. MARY BETH BAGLIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,M.P.H.
Contact information
Practice address
16601 CARROLTON RD, ESCALON, CA 95320-9300
(209) 602-7378
Mailing address
16601 CARROLTON RD, ESCALON, CA 95320-9300
(209) 602-7378
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
386228
REGISTERED DIETITIAN, AMERICAN DIETETIC ASSOCIATION
CA
Enumeration date
08/28/2008
Last updated
08/28/2008
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