Individual
MARISA JOY HARDENBERGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(248) 974-9374
Mailing address
20210 WESTVIEW DR, NORTHVILLE, MI 48167-9287
(248) 974-9374
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12797
FL
Other
Enumeration date
02/06/2024
Last updated
11/24/2024
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