Organization
CHANGGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DE LOS ANGELES MONTOYA RD, LDN (MANAGER)
(305) 542-7433
Entity
Organization
Contact information
Practice address
2648 SW 29TH CT, MIAMI, FL 33133-3036
(305) 542-7433
Mailing address
2648 SW 29TH CT, MIAMI, FL 33133-3036
(305) 542-7433
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND6712
FL
133V00000X
Registered Dietitian
Primary
ND6712
FL
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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