Individual
MARCY VAN ZILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
109 AVON RD, PINE BEACH, NJ 08741-1058
(732) 691-1121
Mailing address
109 AVON RD, PINE BEACH, NJ 08741-1058
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
812076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
812076
COMMISION ON DIETETIC REGISTRATION
IL
Enumeration date
02/26/2020
Last updated
02/26/2020
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