Individual
MONIQUE A MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., RDN, CDN
Contact information
Practice address
19635 HIAWATHA AVE, HOLLIS, NY 11423-2964
(347) 451-0665
Mailing address
19635 HIAWATHA AVE, HOLLIS, NY 11423-2964
(347) 451-0665
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008831-1
NY
Other
Enumeration date
01/15/2017
Last updated
01/15/2017
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