Individual
MARIAH LARYN BAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1688 S AVON AVE, AVON, IN 46123-8496
(317) 627-5582
Mailing address
1688 S AVON AVE, AVON, IN 46123-8496
(317) 627-5582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86276225
IN
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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