Organization
NUTRITION COACHES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANA BURGOHY BROWN RD, LD/N, MPH (MANAGER/NUTRITION CONSULTANT)
(866) 722-4955
Entity
Organization
Contact information
Practice address
1710 WELLS RD, SUITE 728, ORANGE PARK, FL 32073-2332
(866) 722-4955
Mailing address
PO BOX 426, ORANGE PARK, FL 32067-0426
(866) 722-4955
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ND3644
FL
Other
Enumeration date
09/17/2009
Last updated
02/06/2012
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