Individual
MRS. DIANE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
700 STEWART RD, SUITE 105, MONROE, MI 48162-5304
(734) 240-1813
(734) 240-1892
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
(734) 240-4424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
720866
MI
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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