Organization · NPI-2

Colorful La Vie Nutrition, LLC

Dietitian, Registered · Denton, TX

NPI number1760164198
StatusActive
Last updated in NPPESAug 4, 2023

Details

NPI
1760164198
Entity type
Organization (NPI-2)
Legal business name
Colorful La Vie Nutrition, LLC
Organization subpart
No
Enumeration date
Aug 4, 2023
Certification date
Aug 4, 2023
Last updated
Aug 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

2700 Cedar Creek Ln Apt 4012
Denton, TX 76210-2350

Phone 225-240-3409

Mailing address

2700 Cedar Creek Ln Apt 4012
Denton, TX 76210-2350

Phone 225-240-3409

Authorized official

Chantelle Fabre
Owner/Registered Dietitian
2252403409

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