Individual
CELINES MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1313 RED PONY RANCH RD, DELAND, FL 32724-7987
(321) 696-5330
Mailing address
1313 RED PONY RANCH RD, DELAND, FL 32724-7987
(321) 696-5330
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103058
ACADEMY OF NUTRITION AND DIETETICS
—
01
—
8437
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
11/27/2017
Last updated
11/27/2017
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