Organization
NUTRITION IGNITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY E SOBOLEWSKI ND (OWNER)
(904) 891-9104
Entity
Organization
Contact information
Practice address
1890 S 14TH ST, FERNANDINA, FL 32034-4740
(904) 891-9104
Mailing address
3072 VISTA WOOD DR, JACKSONVILLE, FL 32226-2066
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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