Mara Olivia Fiorio, RDN | |
2204 Wilborn Ave, South Boston, VA 24592-1645 | |
(434) 571-3579 | |
Not Available |
Full Name | Mara Olivia Fiorio |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2204 Wilborn Ave, South Boston, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265950646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86084425 (* (Not Available)) | Primary |
Provider Name | Washington Hospital Center Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407870124 PECOS PAC ID: 3577476266 Enrollment ID: O20040630000173 |
Mailing Address | Practice Location Address |
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Mara Olivia Fiorio, RDN 2204 Wilborn Ave, South Boston, VA 24592-1645 Ph: (434) 571-3579 | Mara Olivia Fiorio, RDN 2204 Wilborn Ave, South Boston, VA 24592-1645 Ph: (434) 571-3579 |
Lisa Caudle, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3435 | |
Mrs. Tamara Mahr Sanford, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100 Fax: 434-517-3168 | |
Judy Gourley, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3579 |