Individual
ANGELA PORVAZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D
Contact information
Practice address
2131 E STATE ST, ATHENS, OH 45701-2138
(740) 589-3100
(740) 589-3123
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 441-1949
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.1948
OH
Other
Enumeration date
07/28/2010
Last updated
02/06/2015
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