Individual
MRS. MARYANN ELIZABETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
256 20TH AVE NE, ST PETERSBURG, FL 33704-3513
(727) 550-0852
(727) 550-0852
Mailing address
256 20TH AVE NE, ST PETERSBURG, FL 33704-3513
(727) 550-0852
(727) 550-0852
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5031
FL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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