Individual
JUDITH ANN MACNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-8058
Mailing address
149 S POOR FARM RD, HARRISVILLE, MI 48740-9794
(989) 724-5753
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R618585
MI
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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