Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X |
| NPI # | 1255773636 |
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| LBN Legal business name | NOURISH & RENEW | ||||
| Authorized official | ANITA SCHUBERT - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/25/2013 | ||||
| Last updated | 07/25/2013 - About 13 years ago | ||||
| Identifiers |
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