Individual
MARISA LYN URDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
709 SAINT LAURENT WAY, SIMPSONVILLE, SC 29681-4799
(248) 303-4049
Mailing address
709 SAINT LAURENT WAY, SIMPSONVILLE, SC 29681-4799
(248) 303-4049
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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