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Organization
SPECIALTY NUTRITION AND HEALTH LLC
Active
Organization
SPECIALTY NUTRITION AND HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FAGAN RD (OWNER/MANAGER)
(804) 864-1998
Entity
Organization
Contact information
Practice address
2727 ENTERPRISE PKWY, SUITE 100, HENRICO, VA 23294-6341
(804) 864-1998
(804) 864-1997
Mailing address
2727 ENTERPRISE PKWY, SUITE 100, HENRICO, VA 23294-6341
(804) 864-1998
(804) 864-1997
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1003144
—
Other
Enumeration date
03/25/2015
Last updated
06/04/2015
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