Marta E Banuelos, NUTRITIONIST, MS
NPI #1619633195 in Boston, Massachusetts
Provider Information
- NPI Number
- 1619633195
- Entity Type
- Individual
- Name
- Marta E Banuelos, NUTRITIONIST, MS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nutritionist - Nutrition, Education
- Credential
- NUTRITIONIST, MS
- Enumeration Date
- Nov 9, 2021
- Last Updated
- Oct 27, 2022
Practice Location
- Address
- 504 BEACON ST STE 1
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02115-1042
- Phone
- (415) 999-8393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist - Nutrition, Education — Nutrition, Education |
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