Individual
MRS. BLONDELLE ANDREA MIDAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141-3204
(440) 526-3030
Mailing address
20814 CLARE AVE, MAPLE HEIGHTS, OH 44137-2408
(440) 526-3030
(440) 546-2739
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4367
OH
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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