Individual
DEBRA R HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2292
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000559887
ANTHEM
OH
Enumeration date
07/19/2006
Last updated
06/29/2011
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