Organization
SUMMIT PERFORMANCE NUTRITION LLC
Active
Other names
Summit Performance Nutrition Llc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNA MOORE-LIESTER RD (OWNER)
(719) 684-5754
Entity
Organization
Contact information
Practice address
6156 ROCKVILLE DR, COLORADO SPRINGS, CO 80923-3806
(719) 684-5754
Mailing address
6156 ROCKVILLE DR, COLORADO SPRINGS, CO 80923-3806
(719) 684-5754
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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