Individual
MS. CARLIE ELIZABETH MARADONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
8815 GERMANTOWN AVE STE 22B, PHILADELPHIA, PA 19118-2722
(215) 753-2060
Mailing address
8815 GERMANTOWN AVE STE 22B, PHILADELPHIA, PA 19118-2722
(215) 753-2060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1025759
PA
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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