Individual
MARQUITA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCHHP
Contact information
Practice address
1630 45TH ST STE B101, MUNSTER, IN 46321-3963
(219) 595-0566
Mailing address
1630 45TH ST STE B101, MUNSTER, IN 46321-3963
(219) 595-0566
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
06/22/2023
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