Individual
MRS. MARY RITA MU-TAGALOA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
338 S DAKOTA AVE BLDG 13850, LOMPOC, CA 93437-6307
(214) 684-0947
Mailing address
338 SOUTH DAKOTA AVE, BLDG 13850 VANDENBERG AFB, CA 934, APO, AA 93469
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
835750
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
835750
AMERICAN DIETETIC ASSOCIATION COMMISSION OF DIETETICS
IL
Enumeration date
08/31/2017
Last updated
06/05/2025
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