Individual
MISS JESSICA LEA CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, MPH
Contact information
Practice address
4069 LAKE DR SE STE 118, GRAND RAPIDS, MI 49546-8816
(616) 267-8520
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/28/2011
Last updated
03/26/2022
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