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Individual

AMY PLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14635 HUNTINGTON DR, (VIRTUAL PRACTICE), PLYMOUTH, MI 48170-2651
(248) 730-8658
Mailing address
14635 HUNTINGTON DR, PLYMOUTH, MI 48170-2651
(248) 730-8658

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7956
OH

Other

Enumeration date
04/05/2016
Last updated
05/01/2016
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