Individual
MARCIA B MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
217 RIVERSIDE DR, DOLTON, IL 60419-1430
(708) 849-8223
(708) 849-8253
Mailing address
217 RIVERSIDE DR, DOLTON, IL 60419-1430
(708) 849-8223
(708) 849-8253
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
041136944
IL
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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