Doctor Name: | DENELLE MARIE MARTIN |
NPI Number: | 1194845487 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD CDE |
License Number: | |
Business Practice Address: | 10005 E Osborn Rd Scottsdale, AZ - 852564019 |
Business Phone Number: | 6022631511 |
Business Fax Number: | 6022631619 |
Mailing Address: | Po Box 31001-0698, PASADENA |
State: | CA |
Postal Code: | 911100698 |
Phone Number: | 6022631511 |
Fax Number: | 6022631619 |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |