Individual
MRS. MAVIS J ONKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
FIRST STREET BLD 200 BOX 4000, JAMES H QUILLEN VAMC(120B), MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-3402
Mailing address
450 MOUNTAIN LIGHT LN, UNICOI, TN 37692-4772
(423) 926-1171
(423) 979-3402
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00121
TN
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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