Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ann Marie Balthazor, RDCD

Individual provider Registered Dietitian · NPI 1679763478

Ann Marie Balthazor, RDCD is a Registered Dietitian in San Diego, California. Practices as a sole proprietor. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1933 Hornblend St Apt 21
San Diego, CA 92109-4582
Phone: (920) 539-0348
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Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 957102 (CA)
Registered Dietitian Taxonomy 133V00000X · Licence 10146262 (OR)

Record details

NPI number1679763478
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDCD
Sole proprietorYes
NPI enumeratedJuly 27, 2007
Last updated in NPPESAugust 16, 2012
Mailing address1933 Hornblend St, Apt 21, San Diego, CA 92109-4582

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