Organization
NUTRITION FOR YOU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGO JOHNSON RDLDN (OWNER)
(501) 730-4179
Entity
Organization
Contact information
Practice address
1103 RED ROCK RNCH, SAN ANTONIO, TX 78245-4435
(501) 730-2292
Mailing address
1103 RED ROCK RNCH, SAN ANTONIO, TX 78245-4435
(501) 730-2292
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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