Individual
MARISSA FIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SPRUCE ST STE 400, PHILADELPHIA, PA 19106-4027
(215) 829-5725
Mailing address
301 WASHINGTON ST APT 3214, CONSHOHOCKEN, PA 19428-4014
(610) 620-4224
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005504
PA
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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