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MS. MARY BETH BAGLIONE R.D.,M.P.H.

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1720236136

Individual Registrant:
MS. MARY BETH BAGLIONE R.D.,M.P.H.
Gender: F
Sole Proprietor

Location and contact information for practice:
16601 CARROLTON RD  ESCALON, CA 95320-9300 US
Tel: 209-602-7378  Fax: --

Contact information for business:
16601 CARROLTON RD  ESCALON, CA 95320-9300 US
Tel: 209-602-7378  Fax: --

Registration Information:
NPI: 1720236136
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
REGISTERED DIETITIAN, AMERICAN DIETETIC ASSOCIATION386228CA01




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