Individual
SONYA ANN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CNSD
Contact information
Practice address
1500 WEISS ST, SAGINAW, MI 48602-5251
(989) 497-2500
Mailing address
2422 LINDSAY LN, GRAND BLANC, MI 48439-8080
(989) 497-2500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
07/23/2007
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