Organization
KJM DIETETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLEE-JEAN WORMUTH RD (OWNER)
(718) 581-8659
Entity
Organization
Contact information
Practice address
102 STARDALE RD, MORRISVILLE, NC 27560-7064
(718) 581-8659
Mailing address
102 STARDALE RD, MORRISVILLE, NC 27560-7064
(718) 581-8659
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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