MARISA IRENE STACK

HIALEAH, FL
NPI1801387170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: FL  ND8188)
Enumeration Date2018-05-22
Last Update Date2018-05-22
Business Address
MARISA IRENE STACK RD/LDN
7862 NW 172ND ST
HIALEAH, FL 33015-3849
Phone number: 305-877-3079
Mailing Address
MARISA IRENE STACK RD/LDN
7862 NW 172ND ST
HIALEAH, FL 33015-3849
Phone number:
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