Individual
JOHANNA GRACE KULTYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2641 HIBISCUS WAY APT 204, BEAVERCREEK, OH 45431-2396
(570) 690-6718
Mailing address
2641 HIBISCUS WAY APT 204, BEAVERCREEK, OH 45431-2396
(570) 690-6718
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86290098
OH
Other
Enumeration date
06/29/2023
Last updated
07/31/2023
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