Individual
ELISA A. MARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
STARLING PHYSICIANS, 1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4362
(860) 258-3470
Mailing address
STARLING PHYSICIANS, 1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4362
(860) 258-3470
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
370
CT
133V00000X
Registered Dietitian
DI00001460
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172932
L&I PIN
WA
05
—
8369522
—
WA
Enumeration date
05/02/2006
Last updated
03/17/2018
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