Individual
KELLY ELIZABETH FONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
8115 BENNINGTON BLVD, WHITE LAKE, MI 48386-3564
(989) 992-6465
Mailing address
8115 BENNINGTON BLVD, WHITE LAKE, MI 48386-3564
(989) 992-6465
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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