Individual
DIANE C MARX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
330 PACIFIC PL, MOUNT VERNON, WA 98273-5427
(360) 416-7595
Mailing address
330 PACIFIC PLACE, MOUNT VERNON, WA 98273-7090
(360) 416-7595
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
571535
IL
133V00000X
Registered Dietitian
Primary
DI 00002081
WA
Other
Enumeration date
03/22/2011
Last updated
06/06/2017
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