Organization
FULL-FILLED NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY DEPREE SNYDER RDN (OWNER/RDN)
(814) 240-2012
Entity
Organization
Contact information
Practice address
1903 MCARTHUR RD, JAMESTOWN, PA 16134-4925
(814) 210-2012
Mailing address
1903 MCARTHUR RD, JAMESTOWN, PA 16134-4925
(814) 210-2012
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005756
PA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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