# MS. MARILYN SUSAN TUCKER-VISELLI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1659549285
- **Gender:** F
- **Credential:** RD, CDE

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | 000783-2 | NY | Yes |

## Other

- **Enumeration date:** 02/17/2008
- **Last updated:** 02/17/2008