Organization
NUTRIGENETICS SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE MICHELE FISCHER RD (REGISTERED DIETITIAN NUTRITIONIST)
(919) 806-7753
Entity
Organization
Contact information
Practice address
64 BEVERLY DR, DURHAM, NC 27707-2224
(919) 806-7753
Mailing address
64 BEVERLY DR, DURHAM, NC 27707-2224
(919) 806-7753
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004845
NC
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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