Coastal Nutrition, LLC
NPI #1750694170 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1750694170
- Entity Type
- Organization
- Organization Name
- Coastal Nutrition, LLC
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Jul 15, 2010
- Last Updated
- Jul 15, 2010
Practice Location
- Address
- 1612 DOCTORS CIR
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28401-7406
- Phone
- (910) 762-9701
Authorized Official
- Name
- MS. HEIDI LYNN KAUFMAN, MS LDN CDE
- Title
- CLINICAL NUTRITIONIST
- Phone
- (910) 762-9701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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