Organization
NOURISHED ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE LIN CNS (OWNER)
(817) 542-6323
Entity
Organization
Contact information
Practice address
6161 NW 2ND AVE APT 214, BOCA RATON, FL 33487-3047
(817) 542-6323
Mailing address
6161 NW 2ND AVE APT 214, BOCA RATON, FL 33487-3047
(817) 542-6323
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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