Organization
MAVERICK NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALISSA SARVER (OWNER)
(740) 821-0863
Entity
Organization
Contact information
Practice address
919 7TH ST, PORTSMOUTH, OH 45662-4104
(740) 370-9416
Mailing address
PO BOX 357, WHEELERSBURG, OH 45694-0357
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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