Organization
AT EASE WITH EATING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETH HOUPT (CREDENTIALING)
(517) 676-9788
Entity
Organization
Contact information
Practice address
1151 MICHIGAN AVE STE 106, EAST LANSING, MI 48823-4078
(517) 676-9788
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
716504
MI
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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