Individual
MARK A MAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
3 MARCELA DR, WILLITS, CA 95490-5769
(707) 456-3035
Mailing address
710 S SPRING ST, UKIAH, CA 95482-5334
(707) 391-9017
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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