Individual
MS. KATE MARIE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2172
(313) 343-3218
Mailing address
2027 N LOVINGTON DR APT 105, TROY, MI 48083-4360
(586) 707-2547
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86082063
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86082063
CDR
—
Enumeration date
09/21/2018
Last updated
09/21/2018
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