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Individual

MONA ELIIZABETH VAN WART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD LD

Contact information

Practice address
24 HOSPITAL LN, CALAIS, ME 04619-1329
(207) 454-3906
(207) 454-3616
Mailing address
874 MAIN ST, MEDDYBEMPS, ME 04657-4119
(207) 454-8248

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
687830
ME

Other

Enumeration date
04/24/2006
Last updated
07/28/2010
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