Individual
CHRISTINE BANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3736
Mailing address
10766 HENDERSON RD, CORUNNA, MI 48817-9791
(989) 721-1009
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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