Organization
SOUL FIRE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSANDRA MARIE DULWORTH RDN (FOUNDER/CEO)
(517) 930-6161
Entity
Organization
Contact information
Practice address
5619 MUDRY CT, FORT POLK, LA 71459-3448
(517) 930-6161
Mailing address
5619 MUDRY CT, FORT POLK, LA 71459-3448
(517) 930-6161
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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