Individual
KIMBERLY ANN VANDEWEGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
536 TERRACE LN, YPSILANTI, MI 48198-3044
(734) 255-0131
Mailing address
536 TERRACE LN, YPSILANTI, MI 48198-3044
(734) 255-0131
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86302393
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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