Individual
JACQUELINE NICOLE MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
417 QUARRY LAKES DR, SANDUSKY, OH 44870-8635
(419) 626-9090
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.8100
OH
Other
Enumeration date
08/16/2017
Last updated
04/24/2023
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