Organization
MY FRUITFUL BODY NUTRITION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HOULIE MS, RDN, CDN (OWNER)
(516) 592-2974
Entity
Organization
Contact information
Practice address
142 PRINCESS ST, HICKSVILLE, NY 11801-1100
(516) 592-2974
Mailing address
142 PRINCESS ST, HICKSVILLE, NY 11801-1100
(516) 592-2974
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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