Individual
KRISTIN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1934 LIVERNOIS RD, TROY, MI 48083-1732
(248) 686-0340
Mailing address
700 ANN ST APT 3, BIRMINGHAM, MI 48009-3686
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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