Organization
REIDENBACH NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN REIDENBACH RD, CD (PRESIDENT)
(260) 433-3877
Entity
Organization
Contact information
Practice address
6522 CONSTITUTION DR, FORT WAYNE, IN 46804-1550
(260) 433-3877
(260) 755-5731
Mailing address
6522 CONSTITUTION DR, FORT WAYNE, IN 46804-1550
(260) 433-3877
(260) 755-5731
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000578A
IN
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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