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Organization

APEX FUNCTIONAL NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERA KOTLYAR RDN, LDN (DIETITIAN)
(347) 967-6410
Entity
Organization

Contact information

Practice address
200 HAWKINS AVE STE 103D, SANFORD, NC 27330-4324
(347) 967-6410
(919) 578-4371
Mailing address
2983 FARMHOUSE DR, APEX, NC 27502-7060
(347) 967-6410
(919) 578-4371

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
03/02/2023
Last updated
08/02/2023
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