Individual
MARISSA PODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1242 EL MONTE DR, THOUSAND OAKS, CA 91362-2119
(805) 341-0122
Mailing address
1242 EL MONTE DR, THOUSAND OAKS, CA 91362-2119
(805) 341-0122
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1101340
CA
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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