Organization
FUEL PERFORMANCE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SIMMONS MS, RDN (DIETITIAN/OWNER)
(253) 479-8399
Entity
Organization
Contact information
Practice address
2713 W PECAN RD, PHOENIX, AZ 85041-4421
(970) 309-2600
Mailing address
2713 W PECAN RD, PHOENIX, AZ 85041-4421
(970) 309-2600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
10/16/2024
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