Organization
CORE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE L HENRY RD, LD (PRESIDENT, REGISTERED DIETITIAN)
(937) 260-9548
Entity
Organization
Contact information
Practice address
269 ANNETTE DR, CENTERVILLE, OH 45458-2230
(937) 260-9548
Mailing address
269 ANNETTE DR, CENTERVILLE, OH 45458-2230
(937) 260-9548
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5736
OH
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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