Individual
MARISELA GOMEZ RAFFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2045 W GRAND AVE STE B, CHICAGO, IL 60612-1577
(888) 200-5492
Mailing address
105 SAIL MAKER LN, RICHMOND HILL, GA 31324-7402
(954) 980-5455
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
283075
KY
Other
Enumeration date
02/01/2023
Last updated
06/28/2025
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