Individual
MS. HOLLY MARIE MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., CDN
Contact information
Practice address
20901 42ND AVE, APT. # 2, BAYSIDE, NY 11361-2780
(917) 974-4619
Mailing address
20901 42ND AVE, APT. # 2, BAYSIDE, NY 11361-2780
(917) 974-4619
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
006516
NY
133V00000X
Registered Dietitian
Primary
910404
NY
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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