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Organization

BE NUTRITION LLC

Active
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Organization

BE NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BASHEERAH ENAHORA RDN, LDN (REGISTERED DIETITIAN AND CEO)
(704) 380-9924
Entity
Organization

Contact information

Practice address
4651 CHARLOTTE PARK DR STE 101C, CHARLOTTE, NC 28217-1916
(704) 380-9924
Mailing address
4651 CHARLOTTE PARK DR STE 101C, CHARLOTTE, NC 28217-1916
(704) 380-9924

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—

Other

Enumeration date
09/23/2019
Last updated
09/23/2019
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