Organization
NUTRITION SUPPORT SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE JOHNSTON MS, RD, LDN (OWNER, REGISTERED DIETITIAN)
(267) 625-6853
Entity
Organization
Contact information
Practice address
55 MEADOWFIELD DR, SOUTHAMPTON, PA 18966-3043
(267) 625-6853
(833) 613-2703
Mailing address
55 MEADOWFIELD DR, SOUTHAMPTON, PA 18966-3043
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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