Organization
EMBODIED NUTRITION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA BERGLUND RD (PRACTICE OWNER)
(832) 597-7275
Entity
Organization
Contact information
Practice address
1619 MCDUFFIE ST, HOUSTON, TX 77019-5311
(512) 387-1028
(832) 979-5731
Mailing address
2020 HADDON ST, HOUSTON, TX 77019-5744
(832) 457-8027
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
09/04/2024
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