Individual
MARYANNA STAERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, LDN
Contact information
Practice address
24531 VIA TONADA, LAKE FOREST, CA 92630-2027
(949) 690-9132
Mailing address
PO BOX 5, KINTNERSVILLE, PA 18930-0005
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008520
PA
Other
Enumeration date
06/04/2009
Last updated
09/12/2025
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