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Dietary & Nutritional Service Providers Nutritionist

Provider NPI: 1326513573

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
Tel: 865-850-1074  Fax: --

Business Mailing Address:
Tel: 865-850-1074  Fax: --

NPI Information:
NPI: 1326513573
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
N133N00000XDietary & Nutritional Service Providers
N133NN1002XDietary & Nutritional Service Providers
N133VN1004XDietary & Nutritional Service Providers
Dietitian, Registered
N133VN1005XDietary & Nutritional Service Providers
Dietitian, Registered
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 133V00000X





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