Organization
PEACHY NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR ALEXANDRIA HUSSEY MS, RD, LDN (OWNER/DIETITIAN)
(336) 906-9369
Entity
Organization
Contact information
Practice address
301 E TREMONT AVE APT 202, CHARLOTTE, NC 28203-5483
(336) 906-9369
Mailing address
301 E TREMONT AVE APT 202, CHARLOTTE, NC 28203-5483
(336) 906-9369
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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