Individual
BLAKE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPPD, RDN, LD
Contact information
Practice address
105 E 9TH ST, CORALVILLE, IA 52241-2209
(319) 467-2000
(319) 467-2410
Mailing address
105 E 9TH ST, CORALVILLE, IA 52241-2209
(319) 467-2000
(319) 467-2410
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
121813
IA
Other
Enumeration date
08/15/2023
Last updated
04/12/2024
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