Individual
MRS. MARY MIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(330) 602-5339
Mailing address
6150 OAK TREE BLVD OFC SUITE, INDEPENDENCE, OH 44131-6917
(216) 379-2619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7142
OH
Other
Enumeration date
12/06/2013
Last updated
09/27/2023
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