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Organization
WISE NUTRITION LLC
Active
Organization
WISE NUTRITION LLC
Active
Other names
Nancy M Wise
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY M WISE MS/RD/LD/N (SOLE PROPRIETOR)
(386) 295-1265
Entity
Organization
Contact information
Practice address
35 CAMBRIDGE TRCE, ORMOND BEACH, FL 32174-2471
(386) 675-0790
(888) 785-7846
Mailing address
35 CAMBRIDGE TRCE, ORMOND BEACH, FL 32174-2471
(386) 675-0790
(888) 785-7846
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
ND5781
FL
Other
Enumeration date
02/18/2011
Last updated
11/01/2011
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