Organization
NEW VINE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL VANNETTE MS, RDN, CLS (MANAGER/OWNER)
(616) 286-2245
Entity
Organization
Contact information
Practice address
1428 44TH ST SW, WYOMING, MI 49509-4312
(616) 385-1091
Mailing address
235 140TH AVE, WAYLAND, MI 49348-9700
(616) 385-1091
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/07/2026
Last updated
03/07/2026
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