Individual
BREANNA MARIE PETRUCCIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
2060 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-6113
(616) 956-6100
Mailing address
20 DWIGHT AVE SE, GRAND RAPIDS, MI 49506-1436
(317) 432-0226
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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