Stride Nutrition And Lifestyle Services LLC
Dietitian, Registered in Vandalia, IL. Organization (NPI-2).
NPI number1649989005
StatusActive
Last updated in NPPESNov 15, 2022
Details
- NPI
- 1649989005
- Entity type
- Organization (NPI-2)
- Legal business name
- Stride Nutrition And Lifestyle Services LLC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2022
- Certification date
- Nov 15, 2022
- Last updated
- Nov 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
2203 W Jefferson St Ste AVandalia, IL 62471-1465
Phone 618-267-3012
Mailing address
427 Il 185Vandalia, IL 62471-3437
Phone 618-267-3012
Authorized official
Joleen E Murray
Registered Dietitian Nutritionist
6182673012
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