Individual
MRS. MARISSA LYNN VARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D, M.S.
Contact information
Practice address
7435 W TALCOTT AVE, HEALTH MANAGEMENT OFFICE, CHICAGO, IL 60631-3707
(773) 594-7448
(773) 594-8454
Mailing address
10637 S CLAREMONT AVE, CHICAGO, IL 60643-3101
(773) 594-7448
(773) 594-8454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004656
IL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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