Individual
MRS. HEATHER MARIE MANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
7 W JACKSON ST, PAINESVILLE, OH 44077-3210
(440) 357-6740
Mailing address
8000 BRICHFORD RD, MENTOR, OH 44060-5919
(440) 974-0649
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6116
OH
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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