Organization
CUSTOM NUTRITION & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE T HOLT MHS RDN LDN ACSM-CPT (OWNER)
(910) 231-7589
Entity
Organization
Contact information
Practice address
594 CENTENNIAL DR, CULLOWHEE, NC 28723-1589
(828) 330-9903
(833) 492-5875
Mailing address
745 HOLLY HILLS RD, SYLVA, NC 28779-6964
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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