Organization
DIETETIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORA MARTIN RDN, CSG, LD (PRESIDENT)
(440) 487-8717
Entity
Organization
Contact information
Practice address
12376 CARROLL DR, CHARDON, OH 44024-9444
(440) 487-8717
(866) 200-2885
Mailing address
12376 CARROLL DR, CHARDON, OH 44024-9444
(440) 487-8717
(866) 200-2885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
Other
Enumeration date
03/07/2020
Last updated
03/07/2020
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