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Organization

GUIDED PATH NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTYNA BERGHOLZ (REGISTERED DIETITIAN)
(219) 327-4756
Entity
Organization

Contact information

Practice address
9111 BROADWAY STE D, MERRILLVILLE, IN 46410-7092
(219) 327-4756
Mailing address
709 PLAZA DR # 154, CHESTERTON, IN 46304-1572

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
11/21/2023
Last updated
11/26/2023
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