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Organization

PEACEFUL & POWERFUL NUTRITION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE GREEN RDN, RYT-200 (FOUNDER, LEAD DIETITIAN)
(734) 419-3549
Entity
Organization

Contact information

Practice address
17418 COUNTRY CLUB DR, LIVONIA, MI 48152-4802
(734) 419-3549
Mailing address
17418 COUNTRY CLUB DR, LIVONIA, MI 48152-4802
(734) 419-3549

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
133NN1002X
Nutrition Education Nutritionist
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
02/03/2021
Last updated
02/03/2021
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