Individual
GIORDANA MARIE KOUTAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1263 HAYMARKET WAY, HUDSON, OH 44236-4659
(248) 535-6073
Mailing address
1263 HAYMARKET WAY, HUDSON, OH 44236-4659
(248) 535-6073
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7936
OH
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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