Individual
EVE ROSEMARY MINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN,CDN
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 779-2905
Mailing address
133 PRATT ST, WATERTOWN, NY 13601-4300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0068221
NY
Other
Enumeration date
11/14/2017
Last updated
03/17/2018
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