Organization
GOOD SEEDS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KOBRAN RDN (REGISTERED DIETITIAN, FOUNDER)
(908) 674-3042
Entity
Organization
Contact information
Practice address
8925 LANTANA MEADOW DR, FORT WORTH, TX 76131-1933
(908) 674-3042
Mailing address
8925 LANTANA MEADOW DR, FORT WORTH, TX 76131-1933
(908) 674-3042
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
136A00000X
Registered Dietetic Technician
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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