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Individual

MARYANNE M MATZEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
1 CHAMPIONS DR, COLUMBIA, MO 65211-5507
(660) 734-0445
Mailing address
1 CHAMPIONS DR, COLUMBIA, MO 65211-5507
(660) 734-0445

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2022017613
MO

Other

Enumeration date
08/05/2025
Last updated
10/21/2025
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