Organization
FULL SOUL NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN CORRADINO (OWNER)
(973) 647-2242
Entity
Organization
Contact information
Practice address
4495 W 36TH AVE UNIT C, DENVER, CO 80212-2187
(973) 647-2242
Mailing address
4495 W 36TH AVE UNIT C, DENVER, CO 80212-2187
(973) 647-2242
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
11/04/2022
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