Individual
ANDREA HOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4150 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(989) 621-2465
Mailing address
5757 22ND AVE, HUDSONVILLE, MI 49426-9444
(989) 621-2465
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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