Individual
KIRSTI MARIE LEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1726 HOWARD ST, DETROIT, MI 48216-1921
(313) 832-3300
(313) 832-3393
Mailing address
41531 GLADE RD, CANTON, MI 48187-3769
(810) 429-7789
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86034781
MI
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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