Provider Demographics
NPI:1891122446
Name:DEEDS, CHRISTINE MARIE (MNT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MARIE
Last Name:DEEDS
Suffix:
Gender:F
Credentials:MNT
Other - Prefix:MRS
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:DEEDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MNT
Mailing Address - Street 1:10555 KINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1159
Mailing Address - Country:US
Mailing Address - Phone:248-703-8303
Mailing Address - Fax:
Practice Address - Street 1:10555 KINGSTON AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1159
Practice Address - Country:US
Practice Address - Phone:248-703-8303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist