Organization
FOOD AND FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PARADIS DIETICIAN (OWNER)
(570) 503-6635
Entity
Organization
Contact information
Practice address
982 N GARDEN RIDGE BLVD, STE 140, LEWISVILLE, TX 75077-2827
(570) 503-6635
Mailing address
982 N GARDEN RIDGE BLVD, STE 140, LEWISVILLE, TX 75077-2827
(570) 503-6635
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1067446
TX
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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