JOHN MICKA

HATTIESBURG, MS
NPI1275932444
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MS  D0808)
Enumeration Date2014-08-14
Last Update Date2014-08-14
Business Address
-- JOHN MICKA
2 LONGSTONE RD
HATTIESBURG, MS 39402-8434
Phone number: 601-297-5646
Mailing Address
-- JOHN MICKA
2 LONGSTONE RD
HATTIESBURG, MS 39402-8434
Phone number: 601-297-5646
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