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Individual

DHAARA ANTANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, MPH

Contact information

Practice address
5555 CONNER ST, DETROIT, MI 48213-3448
(313) 344-4100
Mailing address
1468 PRESTBURY CT, CANTON, MI 48187-2977
(734) 945-3036

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86119679
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86119679
COMMISSION ON DIETETIC REGISTRATION (CDR)
MI
Enumeration date
06/17/2020
Last updated
06/17/2020
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