Organization
SO NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE L OULLETTE RD (OWNER)
(281) 394-5734
Entity
Organization
Contact information
Practice address
5318 DANDELION MEADOW LN, KATY, TX 77494-4887
(281) 394-5734
Mailing address
5318 DANDELION MEADOW LN, KATY, TX 77494-4887
(281) 394-5734
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80576
TX
Other
Enumeration date
09/13/2012
Last updated
10/09/2012
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