Organization
PROFESSIONAL DIETITIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA ALAME MS, RDN (REGISTERED DIETITIAN)
(313) 912-4798
Entity
Organization
Contact information
Practice address
29519 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1275
(586) 234-3871
(586) 343-8773
Mailing address
29519 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1275
(586) 234-3871
(586) 343-8773
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
F0803N
MI
Other
Enumeration date
02/12/2017
Last updated
03/21/2017
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