Individual
BRINSLEY JOALLEN KUBIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
343 W WOLF POINT PLZ UNIT 2502, CHICAGO, IL 60654-0105
(616) 402-7390
Mailing address
343 W WOLF POINT PLZ UNIT 2502, CHICAGO, IL 60654-0105
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86153070
MI
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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