Organization
HER THE REBELLION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA MEI CASTOR REGISTERED DIETITIAN (CO-OWNER)
(541) 514-7891
Entity
Organization
Contact information
Practice address
15 HOLLY CREST CT, GREENSBORO, NC 27410-9124
(910) 650-8532
Mailing address
15 HOLLY CREST CT, GREENSBORO, NC 27410-9124
(910) 650-8532
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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