IndividualActive
Maryse Ethier, RD
NPI 1356932297 · Obesity and Weight Management Nutrition Registered Dietitian · San Diego, CA
Provider details
- NPI number
- 1356932297
- Entity type
- Individual
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86115712 (GA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3841 Basilone St Unit 4
San Diego, CA 92110-5409
Phone: (706) 830-1159
Approximate (ZIP-level) locationGet directions
Mailing address
3841 Basilone St Unit 4
San Diego, CA 92110-5409
Registry dates
- Enumerated
- 2021-02-02
- Last updated
- 2021-02-02
- Certified
- 2021-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.