Individual
MARY JO MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
8952 E. DESERT COVE DR., SUITE 114, SCOTTSDALE, AZ 85260
(480) 634-2985
(480) 634-2987
Mailing address
8776 E. SHEA BLVD., SUITE 103-304, SCOTTSDALE, AZ 85260
(480) 634-2985
(480) 634-2987
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
955745
AZ
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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