Individual
NICOLE MARIE GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
800 E MILHAM AVE, PORTAGE, MI 49002-1490
(269) 888-6805
(269) 280-8990
Mailing address
800 E MILHAM AVE, PORTAGE, MI 49002-1490
(269) 888-6805
(269) 280-8990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86017402
MI
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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