Individual
DINA J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1141 N MONROE DR, XENIA, OH 45385-1619
(937) 352-2372
(937) 352-3370
Mailing address
1141 N MONROE DR, XENIA, OH 45385-1619
(937) 352-2372
(937) 352-3370
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 5229
OH
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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