Organization
LIGON NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL LIGON RD, LD/N (OWNER)
(612) 568-5610
Entity
Organization
Contact information
Practice address
66 W 7TH ST, ATLANTIC BEACH, FL 32233-3474
(612) 568-5610
Mailing address
PO BOX 331895, ATLANTIC BEACH, FL 32233-1719
(612) 568-5610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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