Organization
MIEUX NUTRITION AND WELLBEING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ASHLEY BERTHOUMIEUX RD (OWNER)
(646) 465-0475
Entity
Organization
Contact information
Practice address
941 N LEITHGOW ST, PHILADELPHIA, PA 19123-1430
(646) 465-0475
Mailing address
2093 PHILADELPHIA PIKE # 9455, CLAYMONT, DE 19703-2424
(646) 465-0475
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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