Organization
A BALANCED PLATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLA HAUGHT RD (DIETITIAN)
(304) 288-0136
Entity
Organization
Contact information
Practice address
4813 OLD ROUTE 73, BRUCETON MILLS, WV 26525-5313
(304) 288-0136
Mailing address
4813 OLD ROUTE 73, BRUCETON MILLS, WV 26525-5313
(304) 288-0136
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
428
WV
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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