Organization
NUTRITION FOR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDACE MARIE KASPER R.D. (OWNER)
(810) 625-9686
Entity
Organization
Contact information
Practice address
5092 W VIENNA RD, CLIO, MI 48420-2803
(810) 625-9686
Mailing address
10336 N LINDEN RD, CLIO, MI 48420-8559
(810) 625-9686
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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