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Organization
RESILIENT NUTRITION
Active
Organization
RESILIENT NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEGAN BISSELL RD, LDN, CDCES (FOUNDER)
(802) 376-8964
Entity
Organization
Contact information
Practice address
407 COCONUT AVE E, PORT SAINT LUCIE, FL 34952-1328
(802) 376-8964
Mailing address
407 COCONUT AVE E, PORT SAINT LUCIE, FL 34952-1328
(802) 376-8964
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/11/2023
Last updated
01/04/2024
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