Individual
MARY J. MCMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCES
Contact information
Practice address
408 ALEXANDER STREET, CEDAR GROVE, WV 25039
(304) 595-1770
(304) 595-3298
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
235
WV
Other
Enumeration date
01/11/2007
Last updated
12/01/2021
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