Individual
MONICA EVA MARCELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
808 WADSWORTH ST, MIDDLETOWN, CT 06457-4027
(860) 878-0319
Mailing address
808 WADSWORTH ST, MIDDLETOWN, CT 06457-4027
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMARCELLRD
OTHER
—
Enumeration date
07/14/2020
Last updated
07/14/2020
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