Organization
NOURISHING LU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSTANCE LOUISE FULDA RD (OWNER)
(301) 246-6255
Entity
Organization
Contact information
Practice address
13221 SCHUBERT PL, SILVER SPRING, MD 20904-6865
(301) 246-6255
Mailing address
15210 DINO DR UNIT 825, BURTONSVILLE, MD 20866-7536
(301) 246-6255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336409135
NPPES
—
Enumeration date
02/06/2023
Last updated
02/06/2023
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