Individual
KAYLA MARINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 S JEFFERSON ST STE G101, ROANOKE, VA 24016-4418
(540) 224-4360
(540) 224-4357
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1080122
VA
Other
Enumeration date
03/01/2013
Last updated
10/12/2023
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