Individual
MRS. JULIA KIM WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
300 LAFAYETTE AVE SE, SUITE 2045, GRAND RAPIDS, MI 49503-4650
(616) 643-3834
(616) 643-3838
Mailing address
1900 44TH ST SE, GRAND RAPIDS, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/20/2007
Last updated
05/29/2014
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