Organization
FIRST STATE NUTRITION LLC
Active
Organization
FIRST STATE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE SHIRLEY (BILLING MANAGER)
(302) 454-1230
Entity
Organization
Contact information
Practice address
910 N UNION ST STE 2, WILMINGTON, DE 19805-5334
(302) 454-1230
(302) 454-5855
Mailing address
1536 KIRKWOOD HWY, NEWARK, DE 19711-5716
(302) 454-1230
(302) 454-5855
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DN0000617
DE
Other
Enumeration date
03/08/2018
Last updated
03/17/2018
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