Organization
MLC NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA CAMPANELLA RDN, LDN, CEDRD (REGISTERED DIETITIAN)
(570) 731-3200
Entity
Organization
Contact information
Practice address
219 N MAIN AVE # 152, SCRANTON, PA 18504-3307
(570) 731-3200
(570) 343-2401
Mailing address
219 N MAIN AVE # 152, SCRANTON, PA 18504-3307
(570) 731-3200
(570) 343-2401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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