Individual
JUSTIN DESLOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1621 WINTERLAND DR, GAYLORD, MI 49735-8366
(989) 350-3010
Mailing address
1621 WINTERLAND DR, GAYLORD, MI 49735-8366
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86301741
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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