Organization
NUTRIENT DENSE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTA WALE RDN (OWNER)
(225) 828-8393
Entity
Organization
Contact information
Practice address
4036 S 183RD LN, GOODYEAR, AZ 85338-7817
(225) 828-8393
Mailing address
4036 S 183RD LN, GOODYEAR, AZ 85338-7817
(225) 828-8393
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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