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Individual

GENEVA LYNN MCCLOUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPH

Contact information

Practice address
989 UNIVERSITY DR STE 101, PONTIAC, MI 48342-1885
(248) 334-4773
Mailing address
2785 E GRAND BLVD UNIT 462, DETROIT, MI 48211-2003
(313) 354-5014

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
05/10/2025
Last updated
05/10/2025
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