Individual
LAURA ANNE MIHALOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSD
Contact information
Practice address
902 N 7TH ST, CORDELE, GA 31015-3234
(229) 276-3375
Mailing address
902 N 7TH ST, CORDELE, GA 31015-3234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002334
GA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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