Individual
MADELINE VANDER SLOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
849 CHARLES GOLDEN RD, SPARTA, TN 38583-3258
(231) 679-6880
Mailing address
849 CHARLES GOLDEN RD, SPARTA, TN 38583-3258
(231) 679-6880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000004230
TN
Other
Enumeration date
05/07/2024
Last updated
11/19/2024
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