Individual
MARY C BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCN, RD
Contact information
Practice address
2607 BLACKBURN DR, DAVIS, CA 95618-1542
(916) 572-5122
(530) 298-2918
Mailing address
1520 E COVELL BLVD STE B5, DAVIS, CA 95616-1366
(916) 572-5122
(530) 298-2918
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86211451
CA
Other
Enumeration date
03/10/2023
Last updated
04/09/2026
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