Individual
MIKAYLA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1249 15TH ST STE 3000, HUNTINGTON, WV 25701-3663
(304) 691-1000
(304) 691-1693
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 733-8728
(304) 691-8591
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1481
WV
Other
Enumeration date
11/10/2022
Last updated
04/18/2024
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