Individual
MRS. REBECCA MAURILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2002 N 22ND AVE STE 2, BOZEMAN, MT 59718-3153
(406) 282-4762
Mailing address
2203 STURNELLA LN, BELGRADE, MT 59714-7721
(512) 656-7293
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
997839
MT
Other
Enumeration date
07/15/2019
Last updated
03/30/2023
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