Organization
WHOLE LIFE FUNCTIONAL NUTRITION AND FITNESS, LLC
Active
Other names
Whole Life Functional Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCES HENIG RD (CLINICAL NUTRITIONIST)
(732) 449-4040
Entity
Organization
Contact information
Practice address
217 MORRIS AVE, SUITE 2C, SPRING LAKE, NJ 07762-1336
(732) 449-4040
Mailing address
217 MORRIS AVE, SUITE 2C, SPRING LAKE, NJ 07762-1336
(732) 449-4040
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
816010
NJ
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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