Individual
MRS. CARLY HOUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 721-5144
Mailing address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 721-5144
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD7710
OH
Other
Enumeration date
09/01/2015
Last updated
10/17/2016
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