Organization
HIS FRUIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONNA BARKLEY RD, LD (REGISTERED DIETITIAN)
(404) 317-5329
Entity
Organization
Contact information
Practice address
1921 MANHATTAN PKWY, DECATUR, GA 30035-2244
(404) 317-5329
Mailing address
1921 MANHATTAN PKWY, DECATUR, GA 30035-2244
(404) 317-5329
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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