Organization
BACK TO BALANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA ELIZABETH RELLIHAN RD, LD/N (PRESIDENT)
(904) 448-8681
Entity
Organization
Contact information
Practice address
6015 CHESTER CIR STE 106, SUITE 106, JACKSONVILLE, FL 32217-2270
(904) 448-8681
Mailing address
6015 CHESTER CIR, SUITE 106, JACKSONVILLE, FL 32217-2277
(904) 448-8681
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5439
FL
Other
Enumeration date
08/05/2010
Last updated
02/22/2012
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