NPI 1578294096

Marian Holton-Manuel, NUTRITIONIST

Practitioner Nutritionist Madison, WI

Practice location

Address: 6401 Dylyn Dr, Madison, WI 53719-4809
Phone: (608) 335-4496

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence MSHN (WI)

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Registry record

NPI: 1578294096
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2022
Record last updated: 24 Jun 2022

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.