Individual
MS. NATASHA ANTOINETTE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1216 E. HUDSON AVE., ROYAL OAK, MI 48067-4806
(248) 884-1630
Mailing address
1216 E HUDSON AVE, ROYAL OAK, MI 48067-3472
(248) 884-1630
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86082067
MI
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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