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Organization
FX WELL LLC
Active
Organization
FX WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN COSTA (PRESIDENT)
(410) 771-1500
Entity
Organization
Contact information
Practice address
1020 HULL ST, BALTIMORE, MD 21230-5356
(410) 771-1500
Mailing address
11270 PEPPER RD, HUNT VALLEY, MD 21031-1202
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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