Organization
FOREVER NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER WHITE RD LD CDE (OWNER)
(314) 805-2997
Entity
Organization
Contact information
Practice address
10000 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75231-4177
(314) 805-2997
Mailing address
2639 GLOBE AVE, DALLAS, TX 75228-4473
(314) 805-2997
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83424
TX
Other
Enumeration date
10/13/2014
Last updated
04/28/2015
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