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Organization

UPBEET NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICE GRAY DELOACHE TOLLISON MS, RD, LDN (REGISTERED DIETITIAN/OWNER)
(803) 374-3021
Entity
Organization

Contact information

Practice address
1129 SHADY GROVE LN, MT PLEASANT, SC 29464-9016
(803) 374-3021
Mailing address
1129 SHADY GROVE LN, MT PLEASANT, SC 29464-9016
(803) 374-3021

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
07/06/2020
Last updated
07/06/2020
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