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McQuetta D Miller, RD

Dietitian, Registered in Flint, MI. Individual provider (NPI-1).

NPI number1154846830
StatusActive
Last updated in NPPESAug 3, 2017

Details

NPI
1154846830
Entity type
Individual (NPI-1)
Name
Ms. McQuetta D Miller
Credential
RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 3, 2017
Last updated
Aug 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

420 W 5th Ave
Flint, MI 48503-2445

Phone 810-257-3736

Mailing address

6494 W Lake Rd
Clio, MI 48420-8241

Phone 248-425-0295

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