Organization
NUTRITION SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA GRANT CNS (NUTRITION SPECIALIST)
(786) 571-0909
Entity
Organization
Contact information
Practice address
18117 BISCAYNE BLVD # 1176, AVENTURA, FL 33160-2535
(786) 571-0909
(786) 661-2804
Mailing address
18117 BISCAYNE BLVD # 1176, AVENTURA, FL 33160-2535
(786) 571-0909
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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