Organization
FIXER UPPER FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWYNETH BRADSHAW RD (REGISTERED DIETITIAN)
(443) 397-6647
Entity
Organization
Contact information
Practice address
724 E MAIN ST, SALISBURY, MD 21804-5037
(443) 397-6647
Mailing address
724 E MAIN ST, SALISBURY, MD 21804-5037
(443) 397-6647
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
01/28/2021
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