Organization
MNUTRITIONCOACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHAVI PEDDADA (RD)
(615) 887-3746
Entity
Organization
Contact information
Practice address
1645 JEAGA DR, JUPITER, FL 33458-8718
(615) 887-3746
Mailing address
1645 JEAGA DR, JUPITER, FL 33458-8718
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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