Organization
THE ONLINE DIETITIAN, LLC
Active
Other names
The Online Dietitian, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA C AHLENIUS RD, LD (REGISTERED DIETITIAN)
(574) 292-0401
Entity
Organization
Contact information
Practice address
1204 E 900 N, BATTLE GROUND, IN 47920-9403
(574) 292-0401
Mailing address
1204 E 900 N, BATTLE GROUND, IN 47920-9403
(574) 292-0401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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