NPI 1043860968

Ilona Martin, MSRDLDNCNSC

Practitioner Pediatric Nutrition Registered Dietitian East Greenwich, RI

Practice location

Address: 1454 S County Trl, East Greenwich, RI 02818-1749
Phone: (401) 444-0931
Mailing address: 117 Ellenfield St, Providence, RI 02905-4541

Registered specialties

Pediatric Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1004X Licence LDN01030 (RI)

Other Dietitian, Registered providers in Rhode Island →

Registry record

NPI: 1043860968
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2019
Record last updated: 12 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.