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Organization
REAL NUTRITION LLC
Active
Organization
REAL NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIKA KATRICE MAYO RDN (CEO)
(804) 852-9295
Entity
Organization
Contact information
Practice address
6802 PARAGON PL STE 410, RICHMOND, VA 23230-1655
(804) 852-9295
Mailing address
8662 MILLSTREAM DR, RICHMOND, VA 23228
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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