Individual
MONICA LEE MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
2732 WEST MICHIGAN ST., WESTSIDE HEALTH CENTER, INDIANAPOLIS, IN 46222
(317) 554-4607
(317) 554-4617
Mailing address
2732 WEST MICHIGAN ST., WESTSIDE HEALTH CENTER, INDIANAPOLIS, IN 46222
(317) 554-4607
(317) 554-4617
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002087A
IN
Other
Enumeration date
02/08/2011
Last updated
10/17/2011
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