Individual
MARIANNA SIOKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
369 GREEN LN, PHILADELPHIA, PA 19128-4728
(215) 421-4246
Mailing address
369 GREEN LN, PHILADELPHIA, PA 19128-4728
(215) 421-4246
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003535
PA
Other
Enumeration date
11/09/2023
Last updated
02/28/2024
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