Organization
ONWARD PERFORMANCE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL KLOMSTAD RDN (REGISTERED DIETITIAN)
(318) 402-9597
Entity
Organization
Contact information
Practice address
3532 N BOSWORTH AVE APT 2, CHICAGO, IL 60657-8745
(318) 402-9597
Mailing address
3532 N BOSWORTH AVE APT 2, CHICAGO, IL 60657-8745
(318) 402-9597
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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