Organization
APPETITE 4 CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMEKIA F LEWIS CN (CERTIFIED NUTRITIONIST/PRESIDENT)
(571) 577-8683
Entity
Organization
Contact information
Practice address
644 BURNSIDE TER SE, LEESBURG, VA 20175-8936
(571) 577-8683
Mailing address
644 BURNSIDE TER SE, LEESBURG, VA 20175-8936
(571) 577-8683
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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