Organization
NUTRITION TO THE MAX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE EDWARDS RDN (OWNER, REGISTERED DIETITIAN)
(248) 797-1615
Entity
Organization
Contact information
Practice address
4639 TIMBERLINE DR, CANTON, MI 48188-2210
(248) 797-1615
Mailing address
4639 TIMBERLINE DR, CANTON, MI 48188-2210
(248) 797-1615
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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