Stack, Marisa Irene

Stack, Marisa Irene is an sole proprietor health care provider with primary practice located at 7862 Nw 172Nd St , Hialeah FL 33015-3849. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Stack, Marisa Irene can be contacted via phone (305) 877-3079.

Contact Information

Primary practice address
7862 Nw 172Nd St Hialeah FL 33015-3849
Phone: (305) 877-3079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND8188 Florida

Profile Details

NPI number 1801387170
LBN Legal business name Stack, Marisa Irene
Credentials RD/LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2018
Last updated May 22nd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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