Individual
MRS. MARY M JULIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
36209 FALCONCREST AVE, AVON, OH 44011
(216) 255-7099
Mailing address
36209 FALCON CREST AVE, AVON, OH 44011-1869
(216) 255-7099
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
L-2099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094-0279
CERTIFIED DIABETES EDUCAT
OH
01
—
L2099
DIETETICS LICENSE
OH
01
—
R570457
DIETETICS REGISTRATION NU
OH
Enumeration date
05/16/2007
Last updated
07/08/2007
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