Individual
MRS. MARIANA OLGA SERBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
19500 WOODSIDE DR, WATERTOWN, NY 13601-4458
(315) 778-9218
Mailing address
19500 WOODSIDE DR, WATERTOWN, NY 13601-4458
(315) 778-9218
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86050685
NY
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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