Individual
MISS AUDREY P BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
214 N WEST AVE, JACKSON, MI 49201-1903
(517) 784-9189
Mailing address
214 N WEST AVE, JACKSON, MI 49201-1903
(517) 784-9189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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