Organization
NUTRILICIOUS COUNSELING SERVICES LLC
Active
Organization
NUTRILICIOUS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEBA MOUNTASER RD,LD (REGISTERED DIETITIAN)
(817) 953-5127
Entity
Organization
Contact information
Practice address
12105 WALDEN WOOD DR, FORT WORTH, TX 76244-5573
(817) 953-5127
Mailing address
12105 WALDEN WOOD DR, FORT WORTH, TX 76244-5573
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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