Individual
MARILYN ELIZABETH MIQUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2531 TRENTON AVE, UNIT 103, PHILADELPHIA, PA 19125-1730
(908) 268-2087
Mailing address
2531 TRENTON AVE, UNIT 103, PHILADELPHIA, PA 19125-1730
(908) 268-2087
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86007534
PA
Other
Enumeration date
02/16/2013
Last updated
02/16/2013
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