Individual
MARILYN SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD/N
Contact information
Practice address
1525 SE DARLING ST, STUART, FL 34997-6449
(561) 216-9063
Mailing address
1525 SE DARLING ST, STUART, FL 34997-6449
(561) 216-9063
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7541
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86042511
RD LICENSE
—
Enumeration date
04/15/2020
Last updated
04/15/2020
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