Organization
NEW SELF NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN KOWALCZYK RDN (OWNER)
(828) 989-4321
Entity
Organization
Contact information
Practice address
248 SCENIC RIDGE DR, HENDERSONVILLE, NC 28792-8063
(828) 989-4321
Mailing address
248 SCENIC RIDGE DR, HENDERSONVILLE, NC 28792-8063
(828) 989-4321
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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