Organization
MADDOX NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIESEL MADDOX RDN (REGISTERED DIETITIAN NUTRITIONIST)
(719) 445-9573
Entity
Organization
Contact information
Practice address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(719) 445-9573
Mailing address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(719) 445-9573
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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