Individual
BETHANY HERDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1717 SHAFFER ST, KALAMAZOO, MI 49048-1647
(269) 226-5290
Mailing address
5943 STADIUM DR, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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