Individual
MS. JEANETTE ROGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1151 TAYLOR ST DEPT OF, NUTRITION DEPARTMENT - 2C, DETROIT, MI 48202-1732
(313) 870-0011
(313) 876-0539
Mailing address
1151 TAYLOR ST DEPT OF, NUTRITION DEPARTMENT - 2C, DETROIT, MI 48202-1732
(313) 870-0011
(313) 876-0539
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R260385014022
MI
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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