Individual
MISS OLGA SUCHSHINSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
2045 RAMA DR STE 200, INDIANAPOLIS, IN 46219-1710
(765) 414-7319
(317) 635-0449
Mailing address
2045 RAMA DR STE 200, INDIANAPOLIS, IN 46219-1710
(765) 414-7319
(317) 635-0449
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1049442
IN
Other
Enumeration date
06/05/2012
Last updated
06/06/2012
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