Individual
MS. MARCIA GURULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
1400 BLACKHORSE HILL RD, VAMC COATESVILLE 542/116 CM, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
520 WILLIAM EBBS LN, WEST CHESTER, PA 19380-5210
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DN002113
PA
133V00000X
Registered Dietitian
Primary
358883
PA
Other
Enumeration date
08/18/2006
Last updated
07/10/2007
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