Organization
M.P. NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARA PAIGE INGERSOLL MS, RD, LD (DIETITIAN/OWNER)
(936) 212-0877
Entity
Organization
Contact information
Practice address
5509 PLEASANT VALLEY DR STE 70, PLANO, TX 75023-5225
(936) 212-0877
Mailing address
5509 PLEASANT VALLEY DR STE 70, PLANO, TX 75023-5225
(936) 212-0877
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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