Individual
LISA NAOMI MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CLC
Contact information
Practice address
1816 W CORNELL AVE, FRESNO, CA 93705-3710
(559) 930-4186
Mailing address
1816 W CORNELL AVE, FRESNO, CA 93705-3710
(559) 930-4186
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1090106
CA
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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