Individual
ANDREA MELISSA AGUILAR CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1715 LANSING AVE STE 257, JACKSON, MI 49202-2193
(517) 788-4292
Mailing address
1715 LANSING AVE STE 257, JACKSON, MI 49202-2193
(517) 788-4292
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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