IndividualActive
Marie Miller
NPI 1467202192 · Registered Dietetic Technician · Newark, CA
Provider details
- NPI number
- 1467202192
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 994183 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
7654 Thornton Ave
Newark, CA 94560-2834
Phone: (415) 221-4810
Approximate (ZIP-level) locationGet directions
Mailing address
7654 Thornton Ave
Newark, CA 94560-2834
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.