Organization
BLOSSOM NUTRITION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL TISDALE RD, LDN (MANAGER)
(254) 458-6647
Entity
Organization
Contact information
Practice address
8251 LAUREL LAKES WAY, NAPLES, FL 34119-6793
(254) 458-6647
Mailing address
8251 LAUREL LAKES WAY, NAPLES, FL 34119-6793
(254) 458-6647
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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