Individual
AMANDA ANN WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8333 FELCH ST STE 300, ZEELAND, MI 49464-2609
(616) 994-6677
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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