Individual
AMY KATLYN CARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 850-9986
Mailing address
3821 DEVON RD APT 15, ROYAL OAK, MI 48073-1952
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
1061536
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1061536
ACADEMY OF NUTRITION AND DIETETICS
MI
Enumeration date
11/04/2020
Last updated
11/04/2020
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