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Organization

BALANCED LIVING INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICK SHIELDS CDN (PRESIDENT)
(718) 544-4036
Entity
Organization

Contact information

Practice address
136-81 71ST ROAD, FLUSHING, NY 11367-1942
(718) 544-4036
(718) 544-4036
Mailing address
136-81 71ST ROAD, FLUSHING, NY 11367-1942
(718) 544-4036
(718) 544-4036

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
09/30/2014
Last updated
09/30/2014
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