Abby Black RD, CDE

NPI 1750631511 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1750631511
Gender Female
Enumeration Date 09/19/2012
Last Updated 09/19/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
511 RENAISSANCE DR
SUITE 130
SAINT JOSEPH MI, 49085-2180, US
Phone (269) 350-9789
Fax
Business Location
511 RENAISSANCE DR
SUITE 130
SAINT JOSEPH MI, 49085-2180, US
Phone (269) 350-9789
Fax
Toxanomy
Taxonomy Code 133V00000X
License State
License Number 875262
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According to our database, Mrs. Abby Black RD, CDE NPI is 1750631511, taxonomy code is 133V00000X and license number is 875262, license state is located at . Abby Black RD, CDE physically located at 511 Renaissance Dr, Saint Joseph MI, 49085-2180. NPI Number Abby Black RD, CDE has the Individual type.

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1750631511 NPI number is provided on an as is basis without warranty of any kind. 1750631511 is maintained by the National Plan & Provider Enumeration System. The contents of Abby Black RD, CDE are for informational purposes only.