Organization
THE NUTRITION COLLECTIVE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SANNA-GOUIN RD (OWNER, CLINICAL DIETITIAN)
(248) 310-0257
Entity
Organization
Contact information
Practice address
2283 SHEVLIN ST, FERNDALE, MI 48220-1176
(248) 310-0257
Mailing address
2283 SHEVLIN ST, FERNDALE, MI 48220-1176
(248) 310-0257
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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