Organization
NUTRITION THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARA VELKERS LAMB RD, LD, CDE, (OWNER/DIETITIAN/DIABETES EDUCATOR)
(937) 435-4355
Entity
Organization
Contact information
Practice address
5563 FAR HILLS AVE, DAYTON, OH 45429-2225
(937) 435-4355
(937) 434-0102
Mailing address
1400 HERITAGE RD, DAYTON, OH 45459-3305
(937) 435-4355
(937) 434-0102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
400
OH
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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