Individual
HEATHER MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
108 BUTLER AVE, ROSELLE PARK, NJ 07204-1802
(908) 868-1065
Mailing address
108 BUTLER AVE, ROSELLE PARK, NJ 07204-1802
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
898366
NJ
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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