IndividualActive
Israa Alia, RDN
NPI 1114648524 · Gerontological Nutrition Registered Dietitian · Grand Blanc, MI
Provider details
- NPI number
- 1114648524
- Entity type
- Individual
- Primary specialty
- Gerontological Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86040970 (IL)
Practice location
17303 Thornridge Dr
Grand Blanc, MI 48439-9220
Phone: (708) 336-9330
Mailing address
17303 Thornridge Dr
Grand Blanc, MI 48439-9220
Registry dates
- Enumerated
- 2022-09-06
- Last updated
- 2022-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.