The Celiac Space, LLC
NPI #1699312496 in Georgetown, Texas
Provider Information
- NPI Number
- 1699312496
- Entity Type
- Organization
- Organization Name
- The Celiac Space, LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Nov 30, 2019
- Last Updated
- Mar 22, 2023
Practice Location
- Address
- 60 FOUR T RANCH RD
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78633-4350
- Phone
- (949) 282-9928
Authorized Official
- Name
- ERIN KENNY, RD
- Title
- OWNER
- Phone
- (949) 282-9928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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