Individual
MADELINE MARIE BALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1499
Mailing address
6849 S CAMELOT DR, MENTOR, OH 44060-4084
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.09561
OH
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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