Prescriptive Nutrition, Llc

NPI 1285040386 - Nutritionist - 133N00000X

NPI Details
NPI 1285040386
Enumeration Date 07/09/2014
Last Updated 08/15/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GINA ANNE GINA
Position REGISTERED DIETITIAN, NUTRITIONIST
Phone (479) 651-8547
Fax
Practice Location
3205 W MAIN ST
RUSSELLVILLE AR, 72801-2301, US
Phone (479) 651-8547
Fax
Business Location
3205 W MAIN ST
RUSSELLVILLE AR, 72801-2301, US
Phone (479) 651-8547
Fax
Toxanomy
Taxonomy Code 133N00000X
License State Arkansas
License Number 0449
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According to our database, Prescriptive Nutrition, Llc NPI is 1285040386, taxonomy code is 133N00000X and license number is 0449, license state is located at Arkansas. Prescriptive Nutrition, Llc physically located at 3205 W Main St, Russellville AR, 72801-2301. NPI Number 1033115704 has the healthcare provider type.

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1285040386 NPI number is provided on an as is basis without warranty of any kind. 1285040386 is maintained by the National Plan & Provider Enumeration System. The contents of Prescriptive Nutrition, Llc are for informational purposes only.