Organization
DAISY TREE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA VITANZA MS, RDN, LD (SOLE MEMBER/REGISTERED DIETITIAN)
(440) 781-7236
Entity
Organization
Contact information
Practice address
9417 BROADVIEW RD, BROADVIEW HEIGHTS, OH 44147-2307
(833) 516-0454
(888) 972-7994
Mailing address
548 ANDOVER CIR, BROADVIEW HEIGHTS, OH 44147-4251
(440) 781-7236
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
05/26/2023
Last updated
12/12/2023
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