Healthcare Provider Details

I. General information

NPI: 1215718911
Provider Name (Legal Business Name): VALERIE JOY HUNGER RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8011 HOLLOW CORNERS RD
ALMONT MI
48003-8142
US

IV. Provider business mailing address

8011 HOLLOW CORNERS RD
ALMONT MI
48003-8142
US

V. Phone/Fax

Practice location:
  • Phone: 586-980-9551
  • Fax:
Mailing address:
  • Phone: 586-980-9551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number844347
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: