Brooke Ana Mickavicz, MS, RDN, LDN

NPI #1861214082 in Taylor, Pennsylvania

Provider Information

NPI Number: 1861214082
Entity Type: Individual
Name: Brooke Ana Mickavicz, MS, RDN, LDN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RDN, LDN
Enumeration Date: Oct 29, 2024
Last Updated: Oct 29, 2024

Practice Location

Address: 530 S MAIN ST
City: Taylor
State: Pennsylvania
ZIP Code: 18517-1822
Phone: (570) 702-7729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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