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Organization
INTENTFUL NUTRITION LLC
Active
Organization
INTENTFUL NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKE BUSA CZARNECKI RDN, LD (REGISTERED DIETITIAN NUTRITIONIST)
(315) 663-1028
Entity
Organization
Contact information
Practice address
205 E BENSON BLVD STE 501, ANCHORAGE, AK 99503-4019
(315) 663-1028
Mailing address
7404 METZGER AVE UNIT A, JBER, AK 99506-2020
(315) 663-1028
(907) 215-6060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
05/12/2022
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