Organization
CHUN-BAXTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAN NA CHUN (REGISTERED DIETIAN)
(646) 647-2915
Entity
Organization
Contact information
Practice address
25 N NEW JERSEY ST APT 427, INDIANAPOLIS, IN 46204-2889
(646) 637-2915
Mailing address
8465 KEYSTONE XING STE 115, INDIANAPOLIS, IN 46240-2453
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
171400000X
Health & Wellness Coach
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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