Organization
PERSONAL NUTRITION, INC
Active
Organization
PERSONAL NUTRITION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY FISHER RD, LD (REGISTERED DIETITIAN, PRESIDENT)
(512) 745-0868
Entity
Organization
Contact information
Practice address
11673 JOLLYVILLE RD STE 202, AUSTIN, TX 78759-4211
(512) 745-0868
(866) 372-0980
Mailing address
PO BOX 203098, AUSTIN, TX 78720-3098
(512) 745-0868
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
04/08/2008
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