Organization
MI MENTORING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JOHNSON RD (OWNER)
(773) 664-9164
Entity
Organization
Contact information
Practice address
2029 38TH ST, HIGHLAND, IN 46322-1850
(773) 664-9164
(844) 618-1425
Mailing address
2029 38TH ST, HIGHLAND, IN 46322-1850
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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