Individual
COURTNEY MASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-6099
Mailing address
401 N HAMPTON DR, DURAND, MI 48429-1411
(989) 627-6505
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86169568
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
MI
Enumeration date
01/20/2023
Last updated
01/20/2023
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