Individual
CRYSTAL RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
601 E MAIN ST, HART, MI 49420-1144
(231) 873-3577
(231) 873-3557
Mailing address
601 E MAIN ST, HART, MI 49420-1144
(231) 873-3577
(231) 873-3557
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
979463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
979463
REGISTERED DIETITIAN
MI
Enumeration date
03/29/2018
Last updated
03/29/2018
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