Provider Demographics
NPI:1467919308
Name:ALFARO, MARIA L (RD, LDN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:L
Last Name:ALFARO
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 MAIN ST APT 303
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-3034
Mailing Address - Country:US
Mailing Address - Phone:407-451-6577
Mailing Address - Fax:
Practice Address - Street 1:132 MAIN ST APT 303
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-3034
Practice Address - Country:US
Practice Address - Phone:407-451-6577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered