Individual
JOSIE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFN, RDN
Contact information
Practice address
32961 MIDDLEBELT RD, FARMINGTON HILLS, MI 48334-1729
(248) 855-1540
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86067257
OH
Other
Enumeration date
01/26/2021
Last updated
01/28/2021
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