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Organization
THE SWEET LIFE NUTRITION LLC
Active
Organization
THE SWEET LIFE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BOOSTROM MS, RDN (OWNER/REGISTERED DIETITIAN)
(703) 831-2125
Entity
Organization
Contact information
Practice address
4513 WILLET DR, ANNANDALE, VA 22003-3944
(703) 831-2125
Mailing address
4513 WILLET DR, ANNANDALE, VA 22003-3944
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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