Individual
MRS. MARILYN AGETANO BENITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
10 FOREST GROVE DR APT 2, DALY CITY, CA 94015-1282
(714) 683-8626
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
095250
NJ
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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