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Individual

MRS. MELISSA JEAN DIERSING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD/LD

Contact information

Practice address
6294 ALERT NEW LONDON RD, OKEANA, OH 45053-9691
(513) 484-7740
Mailing address
6294 ALERT NEW LONDON RD, OKEANA, OH 45053-9691
(513) 484-7740

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
37001212A
IN
133V00000X
Registered Dietitian
Primary
LD3896
OH
133VN1005X
Renal Nutrition Registered Dietitian
37001212A
IN
133VN1005X
Renal Nutrition Registered Dietitian
LD3896
OH

Other

Enumeration date
04/03/2020
Last updated
04/03/2020
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