Individual
JAN ELAINE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.,C.D.E.
Contact information
Practice address
5619 BLENDONRIDGE DR, COLUMBUS, OH 43230-9847
(614) 906-1875
Mailing address
5619 BLENDONRIDGE DR, COLUMBUS, OH 43230-9847
(614) 906-1875
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1395
OH
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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