Individual
ESSENCE LEFTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2509 PINEY BRANCH RD NW, HUNTSVILLE, AL 35810-3529
(734) 252-9766
Mailing address
2509 PINEY BRANCH RD NW, HUNTSVILLE, AL 35810-3529
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
533427348
PASSPORT
AL
Enumeration date
07/11/2022
Last updated
07/11/2022
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