Organization
THE NUTRITION FAIRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAELEENA COLLINGTON MS LDN (PRESIDENT)
(302) 252-7688
Entity
Organization
Contact information
Practice address
1813 ARLENE DR, WILMINGTON, DE 19804-4001
(302) 999-0814
(302) 999-0692
Mailing address
1813 ARLENE DR, WILMINGTON, DE 19804-4001
(302) 999-0814
(302) 999-0692
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
DE0000409
DE
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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