Basic Information
| Provider Information | |||||||||
| NPI: | 1497839401 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GALARZA | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | GABRIELA | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | RD,LD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3807 CLAIRMONT RD | ||||||||
| Address2: | |||||||||
| City: | CHAMBLEE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303414911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4046308467 | ||||||||
| FaxNumber: | 7704524470 | ||||||||
| Practice Location | |||||||||
| Address1: | 725 JESSE JEWELL PKWY SE | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 305013834 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7707181122 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2006 | ||||||||
| LastUpdateDate: | 07/12/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | LD002615 | GA | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.