Individual
DOREEN IACONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5781 TAYLOR RD, PAINESVILLE, OH 44077-9155
(440) 476-7871
Mailing address
5781 TAYLOR RD, PAINESVILLE, OH 44077-9155
(440) 476-7871
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
08702
OH
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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