| NPI | 1790437879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANN RUSSELL Owner/Registered Dietitian 616-717-2548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| 133VN1101X Dietitian, Registered, Nutrition, Gerontological | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1301X Dietitian, Registered, Nutrition, Oncology | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| 171400000X Health & Wellness Coach | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133N00000X Nutritionist | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 174H00000X Health Educator | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |