Individual
MRS. MARY NIERAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8311 FLORENCE AVE, DOWNEY, CA 90240-3928
(562) 943-4911
Mailing address
5600 WAGNER AVE, LAKEWOOD, CA 90712-1467
(562) 999-6993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
535763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
535763
—
CA
Enumeration date
06/30/2016
Last updated
06/30/2016
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