Individual
PATRICIA GOURLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4062 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-0466
(231) 935-0467
Mailing address
4062 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-0466
(231) 935-0467
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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