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Organization

RESILIENT NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TEGAN BISSELL RD, LDN, CDCES (FOUNDER)
(802) 376-8964
Entity
Organization

Contact information

Practice address
407 COCONUT AVE E, PORT SAINT LUCIE, FL 34952-1328
(802) 376-8964
Mailing address
407 COCONUT AVE E, PORT SAINT LUCIE, FL 34952-1328
(802) 376-8964

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
261Q00000X
Clinic/Center

Other

Enumeration date
12/11/2023
Last updated
01/04/2024
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