Individual
REGINA MARIE MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D, C.D
Contact information
Practice address
3118 99TH PL, HIGHLAND, IN 46322-3311
(219) 924-0548
(219) 924-8160
Mailing address
3118 99TH PL, HIGHLAND, IN 46322-3311
(219) 924-0548
(219) 924-8160
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001093A
IN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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