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NPI 1467357384 · live from the CMS NPI Registry

Angelica Aycock, RDN, MS

Dietitian, Registered, Nutrition, Renal in Canton, MI. National Provider Identifier 1467357384, active.

NPI record

NPI1467357384 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered, Nutrition, Renal 133VN1005X
Practice location42804 Lilley Pointe Dr, Canton, MI 48187
Practice phone586-873-7117
EnumeratedOctober 12, 2026
Last updatedOctober 12, 2026
Sole proprietorYes
Other namesAngelica Serrano Gomez

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered, Nutrition, Renal primary133VN1005X86463105 (MI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.