Mary Beth Baglione, R.D.,M.P.H.

Individual provider Active NPI Registered Dietitian · Escalon, CA

NPI 1720236136 · NPPES record last updated Aug 28, 2008

Key facts

NPI
1720236136
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
16601 Carrolton Rd
Escalon, CA 95320-9300
Phone
(209) 602-7378
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Yes

Addresses

Primary practice location

16601 Carrolton Rd
Escalon, CA 95320-9300

Mailing address

16601 Carrolton Rd
Escalon, CA 95320-9300
Phone (209) 602-7378

Other identifiers

IdentifierTypeStateIssuer
386228OtherCAREGISTERED DIETITIAN, AMERICAN DIETETIC ASSOCIATION

Other providers in Escalon, CA

All providers in Escalon, CA · Registered Dietitian in California

Sources for this page

Verify at the official NPI Registry.