Organization
NORTH STAR NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARICE DOORN RD, LD (OWNER)
(469) 263-9099
Entity
Organization
Contact information
Practice address
555 REPUBLIC DR, SUITE 200, PLANO, TX 75074-5481
(469) 263-9099
Mailing address
555 REPUBLIC DR, SUITE 200, PLANO, TX 75074-5481
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81306
TX
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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