Individual
MRS. VALERIE M POIRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
124 FULLER ST, BEREA, OH 44017-2139
(216) 469-3001
Mailing address
124 FULLER ST, BEREA, OH 44017-2139
(216) 469-3001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 5588
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002971
OHIO DEPARTMENT OF HEALTH - BUREAU FOR CHILDREN WITH MEDICAL HANDICAPS
OH
Enumeration date
11/17/2013
Last updated
11/17/2013
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