LYNN ANASTASIA NICKOL

DAYTON, OH
NPI1467935585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   707725)
Enumeration Date2018-09-14
Last Update Date2018-09-14
Business Address
LYNN ANASTASIA NICKOL RD
4100 W 3RD ST
DAYTON, OH 45428-9000
Phone number: 317-430-4191
Mailing Address
LYNN ANASTASIA NICKOL RD
7114 LAKESIDE WOODS DR
INDIANAPOLIS, IN 46278-1658
Phone number: 317-430-4191