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Organization
NUTRITION SUPPORT SOLUTIONS LLC
Active
Organization
NUTRITION SUPPORT SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE JOHNSTON MS, RD, LDN (OWNER, REGISTERED DIETITIAN)
(267) 625-6853
Entity
Organization
Contact information
Practice address
55 MEADOWFIELD DR, SOUTHAMPTON, PA 18966-3043
(267) 625-6853
(833) 613-2703
Mailing address
55 MEADOWFIELD DR, SOUTHAMPTON, PA 18966-3043
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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