Individual
MRS. NINA KILLIE MICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-7811
Mailing address
1516 N STAFFORD ST APT B, ARLINGTON, VA 22207-3108
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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