Individual
TAMARA A. MARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3801 SPRING ST, RACINE, WI 53405-1667
(262) 687-4480
Mailing address
3801 SPRING ST, RACINE, WI 53405-1667
(262) 687-4480
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1870-29
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1870-29
STATE LICENSE
WI
Enumeration date
02/25/2009
Last updated
02/25/2009
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