Individual
MRS. ELIZABETH RAE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
15054 LUKAS CT APT 320, GRAND HAVEN, MI 49417-7992
(616) 990-7208
Mailing address
15054 LUKAS CT APT 320, GRAND HAVEN, MI 49417-7992
(616) 990-7208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86085592
MI
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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