Organization
ISRAA ALIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAA ALIA RD (OWNER / SOLE PROPRIETOR)
(708) 336-9330
Entity
Organization
Contact information
Practice address
5835 DIXIE HWY, CLARKSTON, MI 48346-3393
(708) 336-9330
Mailing address
2331 CHERRY TREE LN, GRAND BLANC, MI 48439-2536
(708) 336-9330
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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