Individual
MARLEA MASTRICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10302 JAMESON PASS, ALPHARETTA, GA 30022-3057
(484) 802-4662
Mailing address
10302 JAMESON PASS, ALPHARETTA, GA 30022-3057
(484) 802-4662
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD006690
GA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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