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Individual

MARYAM ASHTIANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-9765
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-9765

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
860649
133VN1005X
Renal Nutrition Registered Dietitian
Primary
860649

Other

Enumeration date
11/13/2023
Last updated
03/04/2025
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