Organization
FOUBLIE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA ANTAL MPH, MBA (CEO)
(202) 873-7319
Entity
Organization
Contact information
Practice address
1314 MASSACHUSETTS AVE NW UNIT 603, WASHINGTON, DC 20005-4812
(734) 717-1992
Mailing address
2600 HARRISON ST APT 306, SAN FRANCISCO, CA 94110-4286
(202) 873-7319
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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