Organization
KIDS BEST NUTRITION & HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LEE JARVIS PNP IBCLC (ORGANIZER/MEMBER)
(980) 533-0993
Entity
Organization
Contact information
Practice address
6255 TOWNCENTER DR STE 810, CLEMMONS, NC 27012-9376
(980) 533-0993
Mailing address
857 SOUTHWEST DR, DAVIDSON, NC 28036-7909
(980) 533-0993
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5000468
NC
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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