Organization
NUTRITION FOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA S CARMACK RD, CD (OWNER)
(317) 652-5259
Entity
Organization
Contact information
Practice address
6596 CROSSWINDS CT, AVON, IN 46123-7375
(317) 652-5259
Mailing address
6596 CROSSWINDS CT, AVON, IN 46123-7375
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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