Individual
MS. MONIQUE M MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITIONISTS
Contact information
Practice address
1303 DR MARTIN L KING JR AVE, MOBILE, AL 36603-5341
(251) 432-4117
(251) 436-7765
Mailing address
13311 AUGUST DR, MOBILE, AL 36695-8595
(251) 382-8122
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
5065
AL
Other
Enumeration date
03/31/2025
Last updated
04/08/2025
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