Individual
MISS MICHELLE KATHERINE NEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
1121 MILL PARK DR, MARYSVILLE, OH 43040-9188
(330) 309-6205
Mailing address
1121 MILL PARK DR, MARYSVILLE, OH 43040-9188
(330) 309-6205
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD6045
OH
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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