Individual
NANCY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1 FORD PL # 5C, DETROIT, MI 48202-3450
(313) 874-3095
Mailing address
1 FORD PL # 5C, DETROIT, MI 48202-3450
(313) 874-3095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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