Organization
SPARR NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POORNIMA SAMANDUR RD (REGISTERED DIETITIAN)
(248) 760-7462
Entity
Organization
Contact information
Practice address
1957 MIDCHESTER DRIVE, WESTBLOOMFIELD, MI 48324
(248) 760-7462
Mailing address
1957 MIDCHESTER DR, WEST BLOOMFIELD, MI 48324-1164
(248) 760-7462
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
847864
MI
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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