Organization
VEGAN FIT FOR LIFE LLC
Active
Organization
VEGAN FIT FOR LIFE LLC
Active
Other names
Elite Fit For Life
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSA KAY GANNON (CEO)
(505) 377-0059
Entity
Organization
Contact information
Practice address
4541 QUARTZ DR NE, RIO RANCHO, NM 87124-4910
(505) 377-0059
Mailing address
4541 QUARTZ DR NE, RIO RANCHO, NM 87124-4910
(505) 377-0059
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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