Individual
MS. CHERYL ANN WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Contact information
Practice address
500 THOMAS LN, COLUMBUS, OH 43214-1419
(614) 566-5582
Mailing address
3225 LANCASTER RD, PO BOX 300, GRANVILLE, OH 43023-9014
(740) 587-1376
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD2068
OH
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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