Individual
MRS. JODI AN MICALLEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CDE
Contact information
Practice address
3990 JOHN R ST, 8 BRUSH, ROOM 8805, DETROIT, MI 48201-2018
(313) 745-9361
(313) 966-9585
Mailing address
3990 JOHN R ST, 8 BRUSH, ROOM 8805, DETROIT, MI 48201-2018
(313) 745-9361
(313) 966-9585
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/07/2006
Last updated
07/09/2007
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