Organization · NPI-2

Full Circle Nutrition

Dietitian, Registered · Denton, TX

NPI number1700028545
StatusActive
Last updated in NPPESJun 17, 2013

Details

NPI
1700028545
Entity type
Organization (NPI-2)
Legal business name
Full Circle Nutrition
Organization subpart
No
Enumeration date
Mar 25, 2009
Last updated
Jun 17, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredDT80889TXYes

Practice location

721 N Locust St
Denton, TX 76201-2950

Phone 940-380-8780 · Fax 940-380-8788

Mailing address

721 N Locust St
Denton, TX 76201-2950

Phone 940-380-8780 · Fax 940-380-8788

Authorized official

Lora Williams
Owner/Dietitian
9403808780

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