NPI 1710730973

Jimmie Potts

Practitioner Dietary Manager Clinton Twp, MI

Practice location

Address: 36744 Harper Ave APT 305, Clinton Twp, MI 48035-5877
Phone: (158) 622-2431

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X

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Registry record

NPI: 1710730973
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2024
Record last updated: 8 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.