Provider Demographics
NPI:1477148112
Name:MAGLIO, MARIAH BRITTNEY (RDN)
Entity Type:Individual
Prefix:MISS
First Name:MARIAH
Middle Name:BRITTNEY
Last Name:MAGLIO
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 REEVES ST
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-2069
Mailing Address - Country:US
Mailing Address - Phone:570-575-0406
Mailing Address - Fax:
Practice Address - Street 1:307 REEVES ST
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-2069
Practice Address - Country:US
Practice Address - Phone:570-575-0406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA31307420133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered