MICHELE MARIE MARTIN

MARION, IL
NPI1730440322
Former NameMICHELE MARIE HARNESS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.005412)
Enumeration Date2012-05-31
Last Update Date2012-05-31
Business Address
Mrs. MICHELE MARIE MARTIN RD
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Mailing Address
Mrs. MICHELE MARIE MARTIN RD
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311