Individual
MS. KIMBERLY SUE HANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
580 W. COLLEGE AVE., WEIGHT MANAGEMENT, MARQUETTE, MI 49855
(906) 225-6955
(906) 225-7696
Mailing address
PO BOX 220, MARQUETTE, MI 49855-0220
(906) 225-4821
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
689473
MI
Other
Enumeration date
10/09/2007
Last updated
07/31/2008
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