Organization
CIRCLE OF LIFE NUTRITION LLC
Active
Organization
CIRCLE OF LIFE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELIZABETH AHMED RD, LDN (NUTRITIONIST)
(336) 420-9567
Entity
Organization
Contact information
Practice address
1410 STONECROFT CT, WINSTON SALEM, NC 27103-6095
(336) 420-9567
Mailing address
1410 STONECROFT CT, WINSTON SALEM, NC 27103-6095
(336) 420-9567
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
L002793
NC
Other
Enumeration date
08/12/2013
Last updated
12/02/2013
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