Organization
SOCO NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA PAYNE RDN (OWNER)
(719) 426-1899
Entity
Organization
Contact information
Practice address
943 SHORT ST, CANON CITY, CO 81212-4256
(719) 426-1899
Mailing address
943 SHORT ST, CANON CITY, CO 81212-4256
(719) 426-1899
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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