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Organization
NUTRITION WELLNESS
Active
Organization
NUTRITION WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA T. KHALED RD (REGISTERED DIETITIAN)
(901) 321-5033
Entity
Organization
Contact information
Practice address
9494 FOX HILL CIRCLE N., GERMANTOWN, TN 38139
(901) 321-5033
Mailing address
9494 FOX HILL CIRCLE N., GERMANTOWN, TN 38139
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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