Individual
JULIA ELIZABETH REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1020 LEE ST, FENTON, MI 48430-1568
(810) 730-4659
Mailing address
1020 LEE ST, FENTON, MI 48430-1568
(810) 730-4659
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
863183
MI
Other
Enumeration date
05/26/2013
Last updated
05/26/2013
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