Organization
THE FARM FRESH RD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN A LEQUE MS, RD, LD, CD, FAND (REGISTERED DIETITIAN)
(715) 495-2398
Entity
Organization
Contact information
Practice address
W2403 FOX COULEE RD, NELSON, WI 54756-8000
(715) 495-2398
Mailing address
W2403 FOX COULEE RD, NELSON, WI 54756-8000
(715) 495-2398
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
09/10/2024
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