Individual
GERALDINE J EICHENLAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
554
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
554
STATE OF OHIO
OH
01
—
R622151
ADA
OH
Enumeration date
12/10/2007
Last updated
12/10/2007
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