Individual
SARAH JOY CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSR
Contact information
Practice address
330 E BELTLINE AVE NE, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
Mailing address
2300 UNION AVE SE, GRAND RAPIDS, MI 49507-3244
(616) 247-3518
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
888396
MI
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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