Individual
MISS GINA MARIE DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
39830 GRAND RIVER AVE STE B-3, NOVI, MI 48375-2134
(248) 477-6100
(248) 473-6173
Mailing address
39830 GRAND RIVER AVE STE B-3, NOVI, MI 48375-2134
(248) 477-6100
(248) 473-6173
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1037622
OH
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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