Individual
MIKIKO DEMURA MARZILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LD
Contact information
Practice address
905 UNION ST, SUITE 11, BANGOR, ME 04401-3050
(207) 973-7364
Mailing address
43 WHITING HILL RD, STE 300, BREWER, ME 04412-1005
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
TD1334
ME
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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