Individual
STACIE MICHELE RYLANCE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1919 BOSTON ST SE, GRAND RAPIDS, MI 49506-4160
(616) 252-4787
(616) 252-6209
Mailing address
BOX 159, GRAND RAPIDS, MI 49501-0159
(248) 431-1521
(616) 252-0106
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
923878
MI
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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