Organization
FUEL 4 LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI CLARKE RD (OWNER)
(704) 841-0605
Entity
Organization
Contact information
Practice address
12007 RICHPORT DR, CHARLOTTE, NC 28277-0284
(704) 841-0605
Mailing address
12007 RICHPORT DR, CHARLOTTE, NC 28277-0284
(704) 841-0605
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L0001354
NC
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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