Individual
JESSICA AVERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2215 44TH ST SW, WYOMING, MI 49519-6439
(616) 252-8339
Mailing address
2687 HILLANDALE DR NW, WALKER, MI 49534-1349
(616) 560-5582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
944934
MI
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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