Individual
MISS AMANDA DULAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15801 W MCNICHOLS RD, DETROIT, MI 48235-3543
(313) 272-8450
(313) 272-8455
Mailing address
15801 W MCNICHOLS RD, DETROIT, MI 48235-3543
(313) 272-8450
(313) 272-8455
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
808188
MI
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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