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Organization
NUTRITION ENTERPIRSES
Active
Organization
NUTRITION ENTERPIRSES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL KING RD (CEO)
(734) 444-6720
Entity
Organization
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1502
(734) 444-6720
Mailing address
13183 BACKUS ST, SOUTHGATE, MI 48195-1147
(734) 444-6720
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
800034
MI
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
NULL
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
NULL
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
11/11/2009
Last updated
06/22/2020
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