Individual
PHYLLIS BALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1217 RIPLEY RD, LINDEN, MI 48451-9467
(810) 955-6582
(810) 735-5309
Mailing address
1217 RIPLEY RD, LINDEN, MI 48451-9467
(810) 955-6582
(810) 735-5309
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00107887
MI
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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