Individual
MS. MARISSA ANNE TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD, LDN, MA
Contact information
Practice address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(812) 237-1161
Mailing address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(812) 237-1161
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1008341
IN
133V00000X
Registered Dietitian
164005130
IL
Other
Enumeration date
10/26/2009
Last updated
08/24/2010
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