Diane Martinez Dadivas, RD | |
8439 N Clifton Ave, Niles, IL 60714-1803 | |
(281) 901-8481 | |
(833) 271-4447 |
Full Name | Diane Martinez Dadivas |
---|---|
Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Pediatric |
Location | 8439 N Clifton Ave, Niles, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790090033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 164.005298 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Diane Martinez Dadivas, RD 8439 N Clifton Ave, Niles, IL 60714-1803 Ph: (281) 901-8481 | Diane Martinez Dadivas, RD 8439 N Clifton Ave, Niles, IL 60714-1803 Ph: (281) 901-8481 |
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