Organization
HEALING NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORINA KORDUNOVA RD (REGISTERED DIETITIAN, OWNER)
(718) 594-4794
Entity
Organization
Contact information
Practice address
811 SOUTHERN BLVD, BRONX, NY 10459-5202
(720) 491-1224
Mailing address
811 SOUTHERN BLVD, BRONX, NY 10459-5202
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
03/03/2021
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