Individual
MARIELLE GRACE AUSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-1637
Mailing address
2120 MOYER ST, BALTIMORE, MD 21231-1654
(315) 440-7420
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4453
MD
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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