Individual
CARLY A SECORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1500 S MAIN ST, EATON RAPIDS, MI 48827-1952
(517) 663-9453
Mailing address
1500 S MAIN ST, EATON RAPIDS, MI 48827-1952
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86027704
MI
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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