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Organization
PERSONAL NUTRITION & WELLNESS INC
Active
Organization
PERSONAL NUTRITION & WELLNESS INC
Active
Other names
Rock Bottom Wellness, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY FLATEN CNS, LN (CEO/PRESIDENT)
(763) 300-4816
Entity
Organization
Contact information
Practice address
4450 31ST AVE S, FARGO, ND 58104-4556
(763) 300-4816
(763) 299-1002
Mailing address
4450 31ST AVE S, FARGO, ND 58104-4556
(763) 300-4816
(763) 299-1002
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
NULL
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
08/08/2026
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