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Organization
RENAL NUTRITION LLC
Active
Organization
RENAL NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARTI SHAH RD, CLT (OWNER, REGISTERED DIETITIAN)
(732) 429-2886
Entity
Organization
Contact information
Practice address
404 ENTRADA WAY, ROUND ROCK, TX 78681-1740
(732) 429-2886
Mailing address
404 ENTRADA WAY, ROUND ROCK, TX 78681-1740
(732) 429-2886
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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