Individual
MARY CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
25550 CHAGRIN BLVD, SUITE 200, BEACHWOOD, OH 44122-5638
(216) 765-0500
(216) 765-0521
Mailing address
25550 CHAGRIN BLVD, SUITE 200, BEACHWOOD, OH 44122-5638
(216) 765-0500
(216) 765-0521
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
683503
OH
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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