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Individual

ISRAA ALIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
17303 THORNRIDGE DR, GRAND BLANC, MI 48439-9220
(708) 336-9330
Mailing address
17303 THORNRIDGE DR, GRAND BLANC, MI 48439-9220
(708) 336-9330

Taxonomy

Speciality
Code
Description
License number
State
133VN1101X
Gerontological Nutrition Registered Dietitian
Primary
86040970
IL

Other

Enumeration date
09/06/2022
Last updated
09/06/2022
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