Individual
MRS. HUMAIRA MOHIUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1208 FLAGSTONE DR, DYER, IN 46311-2290
(219) 440-2708
Mailing address
1208 FLAGSTONE DR, DYER, IN 46311-2290
(219) 440-2708
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001676A
IN
Other
Enumeration date
05/11/2012
Last updated
11/06/2013
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