Individual
MR. VINCENZO DIDATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED DIETITIAN
Contact information
Practice address
9824 QUANDT AVE, ALLEN PARK, MI 48101-1353
(734) 658-4699
Mailing address
9824 QUANDT AVENUE, ALLEN PARK, MI 48101-1353
(734) 658-4699
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1058708
MI
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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