Individual
MARY MEEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 PROVIDENT DR, WARSAW, IN 46580-3377
(574) 372-7890
(574) 372-7891
Mailing address
1500 PROVIDENT DR, WARSAW, IN 46580-3377
(574) 372-7890
(574) 372-7891
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164001746
IL
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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