Organization
NUTRITION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE A. JACOB R.D. (OWNER)
(248) 244-2213
Entity
Organization
Contact information
Practice address
700 E BIG BEAVER RD, SUITE B, TROY, MI 48083-1435
(248) 244-2213
(248) 275-5558
Mailing address
700 E BIG BEAVER RD, SUITE B, TROY, MI 48083-1435
(248) 244-2213
(248) 275-5558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MI
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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