Organization
NOURISH360 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MOSAKOWSKI RDN (OWNER)
(610) 635-9942
Entity
Organization
Contact information
Practice address
117 MAHOGANY LN, KING OF PRUSSIA, PA 19406-2299
(610) 635-9942
Mailing address
117 MAHOGANY LN, KING OF PRUSSIA, PA 19406-2299
(610) 635-9942
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
03/18/2024
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