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Organization

THE NUTRITION LADY LLC

Active
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Organization

THE NUTRITION LADY LLC

Active
Other names
The Nutrition Lady LLC
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSENDER POWELL RD (OWNER/REGISTERED DIETITIAN)
(214) 403-7428
Entity
Organization

Contact information

Practice address
3809 WELLESLEY AVE, FRISCO, TX 75034-1513
(214) 403-7428
Mailing address
3809 WELLESLEY AVE, FRISCO, TX 75034-1513
(214) 403-7428

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21420165
CDR
TX
Enumeration date
06/27/2021
Last updated
11/18/2021
About Stedi
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