Organization
FUTURE HOPE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA ROSS BSNS (MANAGER)
(541) 884-3070
Entity
Organization
Contact information
Practice address
1805 CHINCHALLA WAY, KLAMATH FALLS, OR 97603-5234
(541) 892-1248
Mailing address
1805 CHINCHALLA WAY, KLAMATH FALLS, OR 97603-5234
(541) 892-1248
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
12/01/2020
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