| Evo Body Image, Llc | |
|
950 E Maple Rd Ste L10, Birmingham, MI 48009-6482 | |
| (248) 595-2363 | |
| Not Available |
| Full Name | Evo Body Image, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 950 E Maple Rd Ste L10, Birmingham, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821768649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Evo Body Image, Llc 6642 Leytonstone Blvd, West Bloomfield, MI 48322-1200 Ph: Not Available | Evo Body Image, Llc 950 E Maple Rd Ste L10, Birmingham, MI 48009-6482 Ph: (248) 595-2363 |
Laura Ritacco, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 912 S Old Woodward Ave Ste 200, Birmingham, MI 48009 Phone: 248-537-2639 |
Mrs. Isabella Anna Largin, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 912 S Old Woodward Ave Ste 200, Birmingham, MI 48009 Phone: 248-537-2639 |
Elena Giorgia Bogliani, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Pierce St, Birmingham, MI 48009 Phone: 248-631-8914 |
Carolyn Joanna Archer, MSC, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1155 Derby Rd, Apt 3, Birmingham, MI 48009 Phone: 248-840-5853 |
Joanna Dicicco, R.D., C.D.E Dietitian Medicare: Not Enrolled in Medicare Practice Location: 912 S Old Woodward Ave Ste 200, Birmingham, MI 48009 Phone: 248-631-4756 |
Heather Elia, RD, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 950 E Maple Rd Ste L10, Birmingham, MI 48009 Phone: 248-701-9979 |
Heather Elia Dietitian Medicare: Not Enrolled in Medicare Practice Location: 950 E Maple Rd Ste L10, Birmingham, MI 48009 Phone: 248-701-9979 |