Individual
CORISA MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2007 LAKESIDE VLG, MORGANTOWN, WV 26508-5614
(724) 288-6541
Mailing address
2007 LAKESIDE VLG, MORGANTOWN, WV 26508-5614
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1570
WV
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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