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Organization

DAILY DIETETICS, LLC

Active
Parent organization
DAILY DIETETICS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAILY DIETETICS, LLC
Authorized official
MRS. ANGELA WALISZEWSKI MS, LDN (REGISTERED DIETITIAN)
(804) 815-4269
Entity
Organization

Contact information

Practice address
1732 GRAND OVERLOOK ST, COLORADO SPRINGS, CO 80910-4490
(804) 815-4269
Mailing address
1732 GRAND OVERLOOK ST, COLORADO SPRINGS, CO 80910-4490
(804) 815-4269

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
961152
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861775389
CO
Enumeration date
12/01/2015
Last updated
12/01/2015
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