Individual provider · Type 1 NPI

Mary Ann Fiamingo, RN

Nutrition Support Registered Nurse · San Jose, CA

NPI number 1306049416 Active

Practice location

750 S Bascom Ave, Diabetes Ed
San Jose, CA 95128-2603

Mailing address

1177 Avalon Dr
San Jose, CA 95125-4218

Specialties and licenses

TaxonomyCodeLicense
Nutrition Support Registered Nurse Primary 163WN1003XRN262901 (CA)

Nutrition Support Registered Nurse: Definition to come...

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About NPI 1306049416

Mary Ann Fiamingo, RN's National Provider Identifier is 1306049416, issued on Jun 6, 2007. The primary taxonomy on file is Nutrition Support Registered Nurse (163WN1003X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.