Individual
MRS. AMANDA NICOLE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
701 SNYDER RD, EAST LANSING, MI 48823-3422
(248) 802-8637
Mailing address
701 SNYDER RD, EAST LANSING, MI 48823-3422
(248) 802-8637
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
986965
MI
Other
Enumeration date
07/07/2013
Last updated
07/07/2013
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