Organization
NUTRIKISS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA J RZEZNIK (OWNER/PRINCIPAL)
(770) 597-7974
Entity
Organization
Contact information
Practice address
1275 SHILOH RD NW STE 3030, KENNESAW, GA 30144-7186
(770) 597-7974
Mailing address
2155 CAMBERLEY PL, MARIETTA, GA 30062-1894
(770) 597-7974
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
LD003649
GA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
10/24/2012
Last updated
02/17/2022
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