Individual
MS. KERI LYNN PANGBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
210 S FIRST ST, HARBOR BEACH, MI 48441
(989) 479-3201
Mailing address
275 CHURCH RD, FILION, MI 48432-9781
(989) 450-8555
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1015699
MI
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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