Renewed Roots Nutrition
Dietitian, Registered in Anna, TX. Organization (NPI-2).
NPI number1831911429
StatusActive
Last updated in NPPESOct 25, 2024
Details
- NPI
- 1831911429
- Entity type
- Organization (NPI-2)
- Legal business name
- Renewed Roots Nutrition
- Organization subpart
- No
- Enumeration date
- Oct 25, 2024
- Certification date
- Oct 25, 2024
- Last updated
- Oct 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
724 Woodview CtAnna, TX 75409-1049
Phone 214-796-7485
Mailing address
724 Woodview CtAnna, TX 75409-1049
Phone 214-796-7485
Authorized official
Melissa Fossier
Registered Dietitian
2147967485
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