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Organization

PALMETTO MEDICAL NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANA LLINAS SOBRINO (DESIGNATED MEMBER)
(505) 506-7009
Entity
Organization

Contact information

Practice address
672 CREEKRIDGE RD, AIKEN, SC 29803-8664
(505) 506-7009
Mailing address
672 CREEKRIDGE RD, AIKEN, SC 29803-8664

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1079
SC

Other

Enumeration date
07/21/2014
Last updated
09/22/2014
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