IndividualActive
Candace Martell, MS, RDN, LDN
NPI 1376399733 · Sports Dietetics Nutrition Registered Dietitian · Germantown Hills, IL
Provider details
- NPI number
- 1376399733
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN, LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 164009704 (IL)
Practice location
620 Woodland Knolls Rd
Germantown Hills, IL 61548-9429
Phone: (815) 954-8742
Mailing address
595 Pacific Ave
San Francisco, CA 94133-4681
Registry dates
- Enumerated
- 2024-04-26
- Last updated
- 2024-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.