Individual
GINA MARIE BASICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
870 WEST MAIN STREET, MHG01, GENEVA, OH 44041
(440) 415-0102
Mailing address
870 WEST MAIN STREET, MHG01, GENEVA, OH 44041
(440) 415-0102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8184
OH
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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