Organization
AB NUTRITION SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABBY BLACK RD, CDE (OWNER)
(269) 350-9789
Entity
Organization
Contact information
Practice address
511 RENAISSANCE DR, SAINT JOSEPH, MI 49085-2180
(269) 350-9789
Mailing address
511 RENAISSANCE DR, SAINT JOSEPH, MI 49085-2180
(269) 350-9789
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
875262
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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