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Organization

MEDICAL NUTRITION THERAPY CONSULTING LLC

Active
Other names
MEDICAL NUTRITION THERAPY CONSULTING LLC
Organization subpart
No

Provider details

NPI number
Authorized official
WASHINGTON, AISHA L RDN (REGISTERED DIETITIAN NUTRITIONIST)
(816) 572-0471
Entity
Organization

Contact information

Practice address
12404 BLUE RIDGE EXT, GRANDVIEW, MO 64030-1741
(816) 572-0471
(816) 761-0478
Mailing address
12404 BLUE RIDGE EXT, GRANDVIEW, MO 64030-1741
(816) 572-0471
(816) 761-0478

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/21/2020
Last updated
12/28/2020
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