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Organization
FOOD FOUNDATIONS LLC
Active
Organization
FOOD FOUNDATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VJATSCHESLAV KHARITONENKOV MS, RDN/LDN, CEDS (OWNER)
(561) 412-2124
Entity
Organization
Contact information
Practice address
9275 N WOODLAND DR, NILES, IL 60714-1352
(561) 412-2124
Mailing address
9275 N WOODLAND DR, NILES, IL 60714-1352
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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