Innovative Nutrition LLC

NPI #1023610615 in Mobile, Alabama

Provider Information

NPI Number
1023610615
Entity Type
Organization
Organization Name
Innovative Nutrition LLC
Primary Specialty
Dietitian, Registered
Enumeration Date
Nov 10, 2020
Last Updated
Nov 10, 2020

Practice Location

Address
100 MEMORIAL HOSPITAL DR STE 3C
City
Mobile
State
Alabama
ZIP Code
36608-1185
Phone
(251) 272-9654

Authorized Official

Name
MRS. BROOKE GACEK, RDN, LD
Title
OWNER
Phone
(205) 305-2840

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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