Individual
MARIAH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
123 N ANN ARBOR ST, SALINE, MI 48176
(734) 887-6027
Mailing address
1595 KIRTLAND DR, ANN ARBOR, MI 48103-5723
(989) 330-2163
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86108336
—
Other
Enumeration date
07/12/2018
Last updated
08/05/2019
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