Mikiko Demura Marzilli, MS LD

NPI #1205373578 in Bangor, Maine

Provider Information

NPI Number
1205373578
Entity Type
Individual
Name
Mikiko Demura Marzilli, MS LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
MS LD
Enumeration Date
Jan 25, 2017
Last Updated
Jan 25, 2017

Practice Location

Address
905 UNION ST
Address 2
SUITE 11
City
Bangor
State
Maine
ZIP Code
04401-3050
Phone
(207) 973-7364

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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