Individual
MARIAM M BASMA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-6842
Mailing address
6 MAUREEN WAY, BEAR, DE 19701-6338
(302) 836-9476
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN-0000224
DE
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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