Organization
NUTRITION ROOTED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MCDERMOTT MS, RDN, LD (OWNER)
(909) 896-1110
Entity
Organization
Contact information
Practice address
2901 DURANT CT, GRANBURY, TX 76049-7013
(909) 896-1110
Mailing address
2901 DURANT CT, GRANBURY, TX 76049-7013
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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