NPI 1205373578

Mikiko Demura Marzilli, MSLD

Practitioner Registered Dietitian Bangor, ME

Practice location

Address: 905 Union St Suite 11, Bangor, ME 04401-3050
Phone: (207) 973-7364
Mailing address: 43 Whiting Hill Rd STE 300, Brewer, ME 04412-1005

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence TD1334 (ME)

Other Dietitian, Registered providers in Maine →

Registry record

NPI: 1205373578
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2017
Record last updated: 25 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.