Organization
JIM WHITE FITNESS & NUTRITION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D WHITE (OWNER/ PRESIDENT)
(757) 422-4728
Entity
Organization
Contact information
Practice address
1577 LASKIN RD, SUITE 105, VIRGINIA BEACH, VA 23451-6464
(757) 422-4728
Mailing address
1577 LASKIN RD, SUITE 105, VIRGINIA BEACH, VA 23451-6464
(757) 422-4728
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
915373
VA
Other
Enumeration date
08/21/2014
Last updated
08/27/2014
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