Organization
JG PERFORMANCE AND WELLNESS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREME' ANTWON GALLIER RD, LD (OWNER/FOUNDER)
(601) 595-0985
Entity
Organization
Contact information
Practice address
1438 DECATUR ST, BALTIMORE, MD 21230-5213
(601) 595-0985
Mailing address
1438 DECATUR ST, BALTIMORE, MD 21230-5213
(601) 595-0985
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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