Organization
EVOLVE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL LEACH MS, RD (REGISTERED DIETITIAN)
(434) 242-6664
Entity
Organization
Contact information
Practice address
1612 U ST NW, WASHINGTON, DC 20009-6221
(434) 242-6664
Mailing address
1612 U ST NW, WASHINGTON, DC 20009-6221
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
02/07/2023
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