Provider Demographics
NPI:1336311638
Name:BRIGGS, MARILYN M (RD)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:M
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9920 ANGEL PL
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:CA
Mailing Address - Zip Code:95658-9796
Mailing Address - Country:US
Mailing Address - Phone:916-663-1423
Mailing Address - Fax:
Practice Address - Street 1:9920 ANGEL PL
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:CA
Practice Address - Zip Code:95658-9796
Practice Address - Country:US
Practice Address - Phone:916-663-1423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered