Organization
FARE HEALTH NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYA KOROPENKO (PROVIDER)
(972) 855-8733
Entity
Organization
Contact information
Practice address
450 CENTURY PKWY STE 250, ALLEN, TX 75013-8136
(972) 855-8733
Mailing address
450 CENTURY PKWY STE 250, ALLEN, TX 75013-8136
(972) 855-8733
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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