Organization
NEW LIFE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY ANN HOFSESS M.S.R.D.L.D. (OFFICER)
(330) 726-2440
Entity
Organization
Contact information
Practice address
888 BOARDMAN CANFIELD RD, SUITE I., BOARDMAN, OH 44512-4276
(330) 726-2440
(330) 726-6844
Mailing address
888 BOARDMAN CANFIELD RD, SUITE I., BOARDMAN, OH 44512-4276
(330) 726-2440
(330) 726-6844
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2178
OH
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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