Individual
MS. MARY VANECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1612 WOODLAWN AVE, HOLLAND, MI 49423-6729
(512) 423-9958
Mailing address
1612 WOODLAWN AVE, HOLLAND, MI 49423-6729
(512) 423-9958
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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