Individual
JESSICA VANTOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2060 E PARIS AVE NE SUITE 100, GRAND RAPIDS, MI 49546
(616) 956-6100
Mailing address
2060 E PARIS AVE NE SUITE 100, GRAND RAPIDS, MI 49546
(616) 956-6100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MI
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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