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Organization
MICHELLE HOOVER MS MANAGEMENT
Active
Organization
MICHELLE HOOVER MS MANAGEMENT
Active
Other names
Michelle Hoover
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DENISE HOOVER RD, LD (REGISTERED DIETITIAN)
(618) 334-0402
Entity
Organization
Contact information
Practice address
3540 BLACK OAK LN, EDWARDSVILLE, IL 62025-7034
(618) 334-0402
(618) 659-3948
Mailing address
3540 BLACK OAK LN, EDWARDSVILLE, IL 62025-7034
(618) 334-0402
(618) 659-3948
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
164003233
IL
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2001023440
MO
Other
Enumeration date
12/17/2006
Last updated
12/19/2018
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