Individual
MRS. ELIZABETH AMES EGGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
7508 WHISPERING RIDGE ST SE, GRAND RAPIDS, MI 49546-9168
(517) 331-4644
Mailing address
2350 3 MILE RD NW, GRAND RAPIDS, MI 49544-1305
(616) 249-6461
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1025880
MI
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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