Organization
MINDFUEL NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH DISBROW RDN (DIETITIAN)
(586) 206-5981
Entity
Organization
Contact information
Practice address
2B S WASHINGTON ST, OXFORD, MI 48371-4971
(248) 834-0614
Mailing address
53218 MICHAEL DR, CHESTERFIELD, MI 48047-6117
(586) 206-5981
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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