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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