Organization
NICOLE MARIE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BERGOINE (OWNER)
(484) 985-2401
Entity
Organization
Contact information
Practice address
1150 FIRST AVE STE 501, KING OF PRUSSIA, PA 19406-1316
(484) 985-2401
(610) 935-4820
Mailing address
1150 FIRST AVE STE 501, KING OF PRUSSIA, PA 19406-1316
(484) 985-2401
(610) 935-4820
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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