Individual
ANN CHRISTINE CONSTANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RDN, CDE, FAADE
Contact information
Practice address
518 S LAKESHORE BLVD, #8, MARQUETTE, MI 49855-4632
(906) 361-9754
Mailing address
518 S LAKESHORE BLVD, #8, MARQUETTE, MI 49855-4632
(906) 361-9754
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
806543
MI
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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