Individual
MS. BIANCA LEIGH HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
3B6878AE-B8D7-44F5-B
Contact information
Practice address
163 W HIGH ST, JACKSON, MI 49203
(517) 240-4590
Mailing address
163 W HIGH ST, JACKSON, MI 49203
(517) 240-4590
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
3936357
MI
Other
Enumeration date
02/20/2025
Last updated
08/22/2025
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