Individual
MRS. MARILYN JEAN OBIECUNAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, CDE, LDN
Contact information
Practice address
2027 LEBANON CHURCH RD, WEST MIFFLIN, PA 15122-2461
(412) 344-3776
(412) 344-3776
Mailing address
8 POTOMAC AVE, PITTSBURGH, PA 15220-3026
(412) 344-4964
(412) 344-3776
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001366
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13255
HEALTHAMERICA
—
01
—
2145540
AETNA
—
01
—
5482598
AETNA
—
Enumeration date
01/30/2006
Last updated
07/08/2007
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