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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