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Organization

SUMMER NUTRITION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MINA XIA RD (DIETITIAN)
(347) 399-8489
Entity
Organization

Contact information

Practice address
7007 KINGSWOOD RUN DR, ATLANTA, GA 30340-1865
(347) 399-8489
Mailing address
7007 KINGSWOOD RUN DR, ATLANTA, GA 30340-1865
(347) 399-8489

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
07/15/2021
Last updated
08/30/2021
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