Individual
JESSICA ANN GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
300 E WARWICK DR, ALMA, MI 48801-1014
(989) 466-3330
Mailing address
300 E WARWICK DR, ALMA, MI 48801-1014
(989) 466-3330
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00966151
COMMISSION ON DIETETIC REGISTRATION
MI
Enumeration date
10/15/2010
Last updated
10/18/2010
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