Organization
MY NUTRITION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GARDNER RD, LD (REGISTERED DIETITIAN)
(936) 355-2484
Entity
Organization
Contact information
Practice address
8570 COUNTRY RD 589, NEVADA, TX 75173
(936) 355-2484
Mailing address
217 E MAIN ST STE 1094, ROYSE CITY, TX 75189-9998
(936) 355-2484
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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