Organization
NUTRITIONALLY BALANCED KITCHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L SINGH RD (OWNER)
(804) 754-6427
Entity
Organization
Contact information
Practice address
5061 DELTA LAKE DR, RALEIGH, NC 27612-7079
(804) 754-6427
Mailing address
5061 DELTA LAKE DR, RALEIGH, NC 27612-7079
(804) 754-6427
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003304
NC
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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