Organization
NORTH STAR NUTRITION COUNSELING , LLC
Active
Other names
North Star Nutrition Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MATAVULI REGISTERED DIETITIAN (OWNER)
(812) 318-0445
Entity
Organization
Contact information
Practice address
101 W KIRKWOOD AVE STE 213, BLOOMINGTON, IN 47404-6134
(123) 180-4458
Mailing address
3403 N JINNI LYNN CT, BLOOMINGTON, IN 47404-1181
(812) 318-0445
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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