Organization
HAIRSTON NUTRITION CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HAIRSTON JR. RDN (PRESIDENT)
(725) 599-3080
Entity
Organization
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(725) 599-3080
Mailing address
PO BOX 777698, HENDERSON, NV 89077-7698
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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