Organization
MID OHIO NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA CUSHION RD, LD (REGISTERED DIETITIAN)
(614) 855-2824
Entity
Organization
Contact information
Practice address
1080 BEECHER XING N, GAHANNA, OH 43230-4557
(614) 855-2824
Mailing address
1080 BEECHER XING N, GAHANNA, OH 43230-4557
(614) 855-2824
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
08/23/2013
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