Organization
SELF WINS FUNCTIONAL NUTRITION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON HARPER HHP (OWNER)
(757) 714-6500
Entity
Organization
Contact information
Practice address
732 EDEN WAY N STE E158, CHESAPEAKE, VA 23320-2798
(757) 714-6500
Mailing address
732 EDEN WAY N STE E158, CHESAPEAKE, VA 23320-2798
(757) 714-6500
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
07/31/2023
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