MIRA S ILIC

CLEVELAND, OH
NPI1689637845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OH  2264)
Enumeration Date2006-04-10
Last Update Date2008-02-07
Business Address
-- MIRA S ILIC RD
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 800-223-2273
Mailing Address
-- MIRA S ILIC RD
6000 W CREEK RD SUITE 10
INDEPENDENCE, OH 44131-2139
Phone number: 800-223-2273