Individual
LAURA ROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSACN, CN CANIDATE
Contact information
Practice address
1201 INDUSTRIAL DR, SALINE, MI 48176-9434
(734) 216-0338
Mailing address
1201 INDUSTRIAL DR, SALINE, MI 48176-9434
(734) 623-9068
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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