Organization
NOURISH FUNCTIONAL NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN L. HAMILTON R.D.N., L.D.N. (REGISTERED DIETITIAN NUTRITIONIST)
(267) 416-0046
Entity
Organization
Contact information
Practice address
1150 1ST AVE, SUITE 501, KING OF PRUSSIA, PA 19406-1334
(267) 416-0046
Mailing address
537 HIGH ST, HARLEYSVILLE, PA 19438-1708
(267) 644-9609
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003286
PA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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