Organization
NUTRITION YOUR WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA HIDOCK (FOUNDER)
(704) 288-7133
Entity
Organization
Contact information
Practice address
103 PICKENS LN, MOORESVILLE, NC 28115-2989
(704) 288-7133
Mailing address
103 PICKENS LN, MOORESVILLE, NC 28115-2989
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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