Individual
MS. MARYAM KHALILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1424 COUNTY ROAD 223, DURANGO, CO 81301-7287
(970) 759-2142
(970) 375-1609
Mailing address
2332 FOREST AVE, DURANGO, CO 81301-4867
(805) 220-8182
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/26/2010
Last updated
01/22/2015
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