Individual
DIANE MARTINEZ DADIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8439 N CLIFTON AVE, NILES, IL 60714-1803
(281) 901-8481
(833) 271-4447
Mailing address
8439 N CLIFTON AVE, NILES, IL 60714-1803
(281) 901-8481
(833) 271-4447
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
164.005298
IL
Other
Enumeration date
08/11/2010
Last updated
06/12/2020
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