Martha I. Huizar MS, RD, CLC
Full Name
Martha Imelda Huizar MS, RD, CLC
NPI Number
1427593391
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/30/2016
Specialties
(Taxonomies)Name
Code
133VN1101X
133VN1006X
133NN1002X
133N00000X
133VN1201X
133VN1301X
133VN1401X
133VN1004X
133VN1005X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
1479 N ARDEN AVE # 3471
851 N MAIN ST STE 1&3
City
San Luis
San Luis
State
AZ
AZ
Postal Code
85336-0768
85336-0685
Country
US
US
Telephone Number
(928) 920-4584
(928) 920-4584
Identifiers
Identifier
1105437
Identifier State
AZ
Identifier Issuer
COMMISSION ON DIETETIC REGISTRATION - REGISTERED DIETITIAN
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/20/2022