Individual
AMY ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
25401 HARPER AVE STE 1, SAINT CLAIR SHORES, MI 48081-2297
(586) 412-5945
Mailing address
2966 CADILLAC BLVD, DETROIT, MI 48214-2102
(206) 407-5582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86291623
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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