Individual
MARLA J MCGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1541 FLORIDA AVE STE 200, MODESTO, CA 95350-4438
(209) 577-3388
(209) 523-7583
Mailing address
1541 FLORIDA AVE STE 200, MODESTO, CA 95350-4438
(209) 577-3388
(209) 523-7583
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
724348
CA
133V00000X
Registered Dietitian
Primary
724348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C265180
—
CA
Enumeration date
05/12/2006
Last updated
10/08/2019
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