Organization
SIMPLE BALANCED LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHIAMAKA NWACHUKWU RDN (OWNER)
(240) 421-3273
Entity
Organization
Contact information
Practice address
13613 LITTLE SENECA PKWY, CLARKSBURG, MD 20871-3423
(240) 421-3273
Mailing address
13613 LITTLE SENECA PKWY, CLARKSBURG, MD 20871-3423
(240) 421-3273
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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