Individual
MICHELE J MARCUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, PROVIDER ENROLLMENT -- RT. 1022, GALVESTON, TX 77555-5302
(409) 747-0890
(409) 747-1023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
80525
TX
Other
Enumeration date
11/28/2007
Last updated
11/29/2007
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