LISA MIKUS

NEW YORK, NY
NPI1922411891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  86003765)
Enumeration Date2014-06-08
Last Update Date2014-06-08
Business Address
-- LISA MIKUS RD, LD
80 UNIVERSITY PL
NEW YORK, NY 10003-4564
Phone number: 832-766-4420
Mailing Address
-- LISA MIKUS RD, LD
330 E 39TH ST APT 35M
NEW YORK, NY 10016-2137
Phone number: 832-766-4420