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NUTRITION IN SIGHT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MONIQUE M RICHARD RDN (OWNER/DIETITIAN)
(615) 525-8670
Entity
Organization

Contact information

Practice address
509 E WATAUGA AVE, JOHNSON CITY, TN 37601-4038
(615) 525-8670
Mailing address
509 E WATAUGA AVE, JOHNSON CITY, TN 37601-4038
(615) 525-8670

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
RDN2671
TN

Other

Enumeration date
05/07/2015
Last updated
05/07/2015
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