Organization
FOR LIFE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON M COONEY MS, RDN (REGISTERED DIETITIAN NUTRITIONIST)
(586) 747-5108
Entity
Organization
Contact information
Practice address
54511 AVONDALE DR, NEW BALTIMORE, MI 48047-1012
(586) 747-5108
Mailing address
54511 AVONDALE DR, NEW BALTIMORE, MI 48047-1012
(586) 747-5108
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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