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Organization

NUTRIFABULOUS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOPE VAN DER HEIJDEN R.D. (PRESIDENT)
(512) 948-7534
Entity
Organization

Contact information

Practice address
1915 S AUSTIN AVE, STE 106, GEORGETOWN, TX 78626-7843
(512) 948-7534
Mailing address
1915 S AUSTIN AVE, STE 106, GEORGETOWN, TX 78626-7843
(512) 948-7534

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82122
TX

Other

Enumeration date
01/09/2012
Last updated
01/09/2012
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