# WHOLE LIFE FUNCTIONAL NUTRITION AND FITNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Whole Life Functional Nutrition
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265857957
- **Authorized official:** MRS. FRANCES HENIG RD (CLINICAL NUTRITIONIST)
- **Authorized official phone:** (732) 449-4040

## Contact information

- **Practice address:** 217 MORRIS AVE, SUITE 2C, SPRING LAKE, NJ 07762-1336
- **Practice address phone:** (732) 449-4040
- **Mailing address:** 217 MORRIS AVE, SUITE 2C, SPRING LAKE, NJ 07762-1336
- **Mailing address phone:** (732) 449-4040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 816010 | NJ | Yes |

## Other

- **Enumeration date:** 03/04/2014
- **Last updated:** 03/04/2014