| Mary Ellen B Nutrition Therapy Llc | |
|
101 N Irwin St Ste 205a, Hanford, CA 93230-4579 | |
| (559) 572-2990 | |
| (877) 655-6301 |
| Full Name | Mary Ellen B Nutrition Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 101 N Irwin St Ste 205a, Hanford, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588372510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Mary Ellen Banevedes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558513234 PECOS PAC ID: 5496126724 Enrollment ID: I20230125001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen B Nutrition Therapy Llc 101 N Irwin St Ste 205a, Hanford, CA 93230-4579 Ph: (559) 572-2990 | Mary Ellen B Nutrition Therapy Llc 101 N Irwin St Ste 205a, Hanford, CA 93230-4579 Ph: (559) 572-2990 |
Gelline Lois Martinez Galgana, MSA, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1025 N Douty St, Hanford, CA 93230 Phone: 559-537-0170 | |
Kelly Susan Cornelius, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 W 5th St, Hanford, CA 93230 Phone: 877-960-3426 | |
Susan M Yoshimura, RD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 515 W Grangeville Blvd, Hanford, CA 93230 Phone: 928-247-7309 | |
Mrs. Yvonne Astrid Toro-miranda, RD, CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 515 W Grangeville Blvd, Hanford, CA 93230 Phone: 559-530-3396 | |
Jacy Beckenhauer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1025 N Douty St, Hanford, CA 93230 Phone: 559-537-0170 | |
Mr. Philip Anthony Mendoza, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9521 7th Ave, Hanford, CA 93230 Phone: 559-537-9008 | |
Mary Ellen Banevedes, RDN, CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 101 N Irwin St Ste 205a, Hanford, CA 93230 Phone: 559-572-2990 Fax: 877-655-6301 |