Mamerow, Madonna M
Mamerow, Madonna M is an sole proprietor health care provider with primary practice located at 2600 S Shore Blvd Ste 300 , League City TX 77573-2944. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mamerow, Madonna M can be contacted via phone (281) 436-9668.Contact Information
Primary practice address
2600 S Shore Blvd Ste 300
League City TX 77573-2944
Phone: (281) 436-9668
Fax: (833) 259-9548
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DT86015 | Texas |
Profile Details
NPI number | 1104488220 |
---|---|
LBN Legal business name | Mamerow, Madonna M |
Credentials | PHD, RDN, LD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2019 |
Last updated | Sep 3rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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