Individual
MRS. TAMMY JOAN MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
2100 BAPTISTE DR, MIAMI COUNTY MEDICAL CENTER, PAOLA, KS 66071
(913) 294-6656
(913) 294-6639
Mailing address
11478 S WILDER, OLATHE, KS 66061
(913) 397-8048
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1274
KS
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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