Doctor Name: | MRS. MARY M JULIUS |
NPI Number: | 1023225497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., C.D.E. |
License Number: | L-2099 |
Business Practice Address: | 36209 Falconcrest Ave Avon, OH - 44011 |
Business Phone Number: | 2162557099 |
Business Fax Number: | |
Mailing Address: | 36209 Falcon Crest Ave, AVON |
State: | OH |
Postal Code: | 440111869 |
Phone Number: | 2162557099 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | L-2099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |