Individual
MINDY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10400 MALLARD CREEK RD STE 340, CHARLOTTE, NC 28262-5203
(520) 243-0190
Mailing address
145 NEW BERN ST APT 458, CHARLOTTE, NC 28209-4321
(520) 243-0190
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L007408
NC
Other
Enumeration date
07/07/2023
Last updated
07/10/2023
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