Individual
AUGUST NOELANI CORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1087
(574) 647-1000
Mailing address
2602 MUIRFIELD DR APT 2A, ELKHART, IN 46514-7170
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003563A
IN
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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