Individual
KELLI CIERRA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
13901 E JEFFERSON AVE, DETROIT, MI 48215-2720
(313) 821-2591
(313) 822-0950
Mailing address
13901 E JEFFERSON AVE, DETROIT, MI 48215-2720
(313) 821-2591
(313) 822-0950
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86044997
MI
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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