Organization
FUEL LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKINZIE ALLISON ANDERSON MS, RD, CSSD, SNS (CEO & CO-FOUNDER)
(509) 370-2371
Entity
Organization
Contact information
Practice address
12030 DONNER PASS RD STE 1-924, TRUCKEE, CA 96161-0449
(509) 370-2371
Mailing address
12030 DONNER PASS RD STE 1-924, TRUCKEE, CA 96161-0449
(509) 370-2371
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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