Individual
ELLEN DEETTE BOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2389
(231) 876-6633
Mailing address
400 HOBART ST, CADILLAC, MI 49601-2389
(231) 876-6633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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