Organization
CENTENNIAL DIETETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERISSA MORIN REGISTERED DIETITIAN (REGISTERED DIETITIAN)
(719) 246-1965
Entity
Organization
Contact information
Practice address
8562 E BRIARWOOD BLVD, CENTENNIAL, CO 80112-1323
(719) 246-1965
Mailing address
8562 E BRIARWOOD BLVD, CENTENNIAL, CO 80112-1323
(719) 246-1965
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NO LICENSURE IN CO
CO
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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