Individual
COLLEEN MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1430 MAPLE AVE, WYOMING, OH 45215-2116
(513) 218-3815
Mailing address
1430 MAPLE AVE, WYOMING, OH 45215-2116
(513) 218-3815
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
6075
OH
Other
Enumeration date
01/24/2009
Last updated
01/24/2009
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