Organization
DIDATO DIETETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENZO DIDATO REGISTERED DIETITIAN (OWNER)
(313) 382-3897
Entity
Organization
Contact information
Practice address
9824 QUANDT AVE, ALLEN PARK, MI 48101-1353
(313) 382-3897
Mailing address
9824 QUANDT AVE, ALLEN PARK, MI 48101-1353
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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