Individual
MRS. BLAKE R CRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-3664
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-3664
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000001631
TN
Other
Enumeration date
07/24/2008
Last updated
04/28/2014
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