Individual
WENDY C LAFONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3724
Mailing address
5900 SAN MARINO RD, GREGORY, MI 48137-9434
(734) 498-2144
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
806628
MI
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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