Nutrition Fundamentals LLC

NPI #1083141865 in Justin, Texas

Provider Information

NPI Number
1083141865
Entity Type
Organization
Organization Name
Nutrition Fundamentals LLC
Primary Specialty
Dietitian, Registered
Enumeration Date
May 11, 2017
Last Updated
May 11, 2017

Practice Location

Address
204 N JACKSON AVE
City
Justin
State
Texas
ZIP Code
76247-9582
Phone
(208) 739-5781

Authorized Official

Name
KELSIE LEWIS, RD, LD, CPT, NFC
Title
OWNER
Phone
(208) 739-5781

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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