Individual
DIANE SUE TRAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. PH.D. C.D.E.
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-8100
Mailing address
5900 BYRON CENTER AVE SW, FOOD & NUTRITION SERVICES/CANCER CTR. AT METRO HEALTH V, WYOMING, MI 49519-9606
(616) 252-8100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
04/19/2010
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