Nutrifabulous, LLC

NPI #1477823375 in Georgetown, Texas

Provider Information

NPI Number: 1477823375
Entity Type: Organization
Organization Name: Nutrifabulous, LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Jan 9, 2012
Last Updated: Jan 9, 2012

Practice Location

Address: 1915 S AUSTIN AVE
Address 2: STE 106
City: Georgetown
State: Texas
ZIP Code: 78626-7843
Phone: (512) 948-7534

Authorized Official

Name: HOPE VAN DER HEIJDEN, R.D.
Title: PRESIDENT
Phone: (512) 948-7534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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