Individual
MARIAN JANE CARUSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1481 W 10TH ST., INDIANAPOLIS, IN 46202-2803
(317) 988-4752
Mailing address
1532 MISTY LAKE DR, INDIANAPOLIS, IN 46260-6118
(317) 447-9445
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1030232
IN
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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