NPI 1164647004

Martha Leah Magliola, RDCD

Practitioner Registered Dietitian South Bend, IN

Practice location

Address: 615 N Michigan St, South Bend, IN 46601-1033
Phone: (574) 647-7335
Mailing address: 14650 Tranquil CT, Granger, IN 46530-8301

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 37000920A (IN)

Other Dietitian, Registered providers in Indiana →

Registry record

NPI: 1164647004
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2007
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.