Individual
MRS. NANCY ANN ULLREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3596 TRICKLEWOOD DR SE, GRAND RAPIDS, MI 49546-7246
(616) 949-2732
Mailing address
3596 TRICKLEWOOD DR SE, GRAND RAPIDS, MI 49546-7246
(616) 949-2732
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R410665
IN
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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