Individual
MS. MARILYN MONROE GAMMARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D., C.D.E.
Contact information
Practice address
3 HIDDEN PONDS CT, GAITHERSBURG, MD 20878-2213
(301) 978-9773
(301) 978-9773
Mailing address
3 HIDDEN PONDS CT, GAITHERSBURG, MD 20878-2213
(301) 978-9773
(301) 978-9773
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
D00131
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37167
UNITED HEALTH CARE #
MD
01
—
5811216-001
CIGNA HEALTH CARE #
MD
01
—
D00131
PROF DIETETIC LICENSE
MD
01
—
DI346
PROF DIETETIC LICENSE
DC
Enumeration date
03/19/2007
Last updated
07/08/2007
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