MICHIANA NUTRITION AND DIABETES EDUCATION LLC

SOUTH BEND, IN
NPI1619604410
Entity TypeOrganization
Authorized ContactANOUK D SHELTON
Registered Dietitian
815-342-6205
Organization Subpart ?No
Primary Taxonomy261QH0100X Clinic/Center, Health Services
Enumeration Date2022-08-02
Last Update Date2022-10-25
Business Address
MICHIANA NUTRITION AND DIABETES EDUCATION LLC
300 S SAINT LOUIS BLVD
SOUTH BEND, IN 46617-3043
Phone number: 574-301-5205
Mailing Address
MICHIANA NUTRITION AND DIABETES EDUCATION LLC
16151 PETRO DR
MISHAWAKA, IN 46544-6422
Phone number: 815-342-6205
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