Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X | |||
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Nutrition, Pediatric |
133VN1004X | 71 | Registered Dietitian or Nutrition Professional |
| NPI Number | 1295358224 |
| LBN Legal business name | FOUBLIE, INC |
| Authorized official | MELISSA ANTAL - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/26/2020 |
| Last updated | 05/26/2020 - About 6 years ago |
| Identifiers | n/a |
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FOUBLIE, INC
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| SHELIA A THOMAS GILLESPIE, LICENSE DIETICIAN 1712 I STREET NW WASHINGTON, DC |
| TIFFANY N JOHNSON LARGENT, PH.D., RD, LN, LD 1629 K STREET, NW WASHINGTON, DC |
| ANDREA N WHITLEY, RD 1629 K. STREET NW WASHINGTON, DC |
| METRO HEALTH SERVICES PLLC 3327 DUKE ST. ALEXANDRIA, DC |
| NEIVILLE A TEZI JR 6715 LAMONT DR 2041 MLK JR. AVE SE, SUITE, DC |