Michelle Anne Mardock, R.D. Valid NPI

Individual provider · Registered Dietitian · Apo, AE

NPI

1154401826

Type

Individual (Type 1)

Primary specialty

Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133V00000X

License number

DT06100 (TX)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-10-17

Last updated

2022-07-21