Individual
SULAFA HASSAN ELSHOWAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1200 N WEST AVE STE 300, JACKSON, MI 49202-2180
(517) 789-1234
Mailing address
1910 WOOD ST, LANSING, MI 48912-3440
(517) 214-6835
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86084618
MI
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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