MIKHAILA SAILOR

FORT WAYNE, IN
NPI1609415421
Former NameMIKHAILA LICHTENBERGER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  86078420)
Enumeration Date2019-12-26
Last Update Date2019-12-26
Business Address
MIKHAILA SAILOR RD
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4160
Phone number: 260-435-7995
Mailing Address
MIKHAILA SAILOR RD
3316 CALEDON PL
FORT WAYNE, IN 46818-9136
Phone number: 260-494-2918