Individual
MARY BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5493 CLINTON RIVER DR, WATERFORD, MI 48327-2521
(586) 925-6888
Mailing address
5493 CLINTON RIVER DR, WATERFORD, MI 48327-2521
(586) 925-6888
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86046829
MI
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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