Organization
JACK BURTON STRENGTH AND CONDITIONING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK BURTON (OWNER)
(662) 418-2938
Entity
Organization
Contact information
Practice address
1001 L ST NW APT 203, WASHINGTON, DC 20001-6301
(662) 418-2938
Mailing address
2545 AUTUMN TER, DALZELL, SC 29040-8969
(662) 418-2938
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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