Organization
FRUITFUL NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL BORDOGNA (REGISTERED DIETITIAN)
(574) 276-0699
Entity
Organization
Contact information
Practice address
211 WINTERBERRY RIDGE DR, DURHAM, NC 27713-9442
(574) 276-0699
Mailing address
211 WINTERBERRY RIDGE DR, DURHAM, NC 27713-9442
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003347
NC
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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