Individual
MICHELLE L HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
29000 CENTER RIDGE RD, SJWS DIETARY SERVICES, WESTLAKE, OH 44145-5293
(440) 827-5157
Mailing address
6935 TREELINE DR, STE J, BRECKSVILLE, OH 44141-3393
(440) 746-2220
(440) 746-3496
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD3150
OH
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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