Individual
MARY WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3024 GRANNY SMITH LN, MIDDLETOWN, OH 45044-7954
(513) 312-2824
Mailing address
3024 GRANNY SMITH LN, MIDDLETOWN, OH 45044-7954
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.08577
OH
Other
Enumeration date
02/19/2021
Last updated
07/10/2023
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