Doctor Name: | MAYSSOUN HAMADE |
NPI Number: | 1023313905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D |
License Number: | 1025574 |
Business Practice Address: | 4900 Mercury Dr Dearborn, MI - 481262947 |
Business Phone Number: | 3139824368 |
Business Fax Number: | |
Mailing Address: | 415 Berwyn St, DEARBORN HEIGHTS |
State: | MI |
Postal Code: | 481273724 |
Phone Number: | 3135701711 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2011 |
NPI Last Update Date: | 01/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1025574 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |