Organization
ACTIVE FUELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA TURNER MS, RDN, CSSD (OWNER/SPORTS DIETITIAN)
(303) 885-4161
Entity
Organization
Contact information
Practice address
7900 E UNION AVE STE 1136, DENVER, CO 80237-2735
(303) 885-4161
Mailing address
7900 E UNION AVE STE 1136, DENVER, CO 80237-2735
(303) 885-4161
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1017986
CO
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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