Organization
NUTRITION SENSE 4 LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA NELSON R.D. (REGISTERED DIETITIAN)
(269) 680-7041
Entity
Organization
Contact information
Practice address
12836 CUTLER COVE ST, WAYLAND, MI 49348-8862
(269) 680-7041
Mailing address
12836 CUTLER COVE ST, WAYLAND, MI 49348-8862
(269) 680-7041
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1000109
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174838304
—
MI
Enumeration date
08/12/2010
Last updated
08/01/2012
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