Individual
MRS. DIANE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
550 MUNSON AVE, MUNSON COMMUNITY HEALTH CENTER NUTRITION COUNSELING, TRAVERSE CITY, MI 49686-3580
(231) 935-8451
Mailing address
1105 SIXTH ST, MUNSON MEDICAL CENTER FOOD & NUTRITION SERVICES, TRAVERSE CITY, MI 49684-2345
(231) 935-6939
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
599542
MI
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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