Individual
MONICA STUDTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4507 W 450 N, LA PORTE, IN 46350-7407
(219) 331-4035
Mailing address
4507 W 450 N, LA PORTE, IN 46350-7407
(219) 331-4035
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1040336
IN
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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