NPI 1063421725

Mary Guillen, RD

Practitioner Renal Nutrition Registered Dietitian Albuquerque, NM

Practice location

Address: 1501 San Pedro Dr SE, Albuquerque, NM 87108-5153
Phone: (505) 265-1711
Mailing address: 6928 Edwina Ave NE, Albuquerque, NM 87110-1404

Registered specialties

Renal Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1005X Licence 379 (NM)

Other Dietitian, Registered providers in New Mexico →

Registry record

NPI: 1063421725
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2006
Record last updated: 8 Jul 2007

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.