Organization
ACTIVE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA STEVENS MPH RDN (OWNER, REGISTERED DIETITIAN)
(248) 459-1508
Entity
Organization
Contact information
Practice address
32988 THORNDYKE CT, FARMINGTON HILLS, MI 48334-1969
(248) 459-1508
(248) 742-4993
Mailing address
32988 THORNDYKE CT, FARMINGTON HILLS, MI 48334-1969
(248) 459-1508
(248) 742-4993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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