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Organization

SERAPHIM NUTRITION LC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LEATTA BYRD RDN (SOLE PROPRIETOR)
(269) 290-3248
Entity
Organization

Contact information

Practice address
1865 PARTRIDGE LN, KALAMAZOO, MI 49009-3019
(269) 290-3248
Mailing address
1865 PARTRIDGE LN, KALAMAZOO, MI 49009-3019
(269) 290-3248

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary

Other

Enumeration date
03/09/2023
Last updated
03/09/2023
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