POUTHEAVY LAT TEP-RUTKOWSKI

SNELLVILLE, GA
NPI1568148948
Other NameTHEAVY LAT TEP-RUTKOWSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  86296100)
Enumeration Date2023-06-22
Last Update Date2023-06-22
Business Address
POUTHEAVY LAT TEP-RUTKOWSKI MS, RD, LD
2295 RONALD REAGAN PKWY STE 300
SNELLVILLE, GA 30078-5739
Phone number: 770-982-4115
Mailing Address
POUTHEAVY LAT TEP-RUTKOWSKI MS, RD, LD
577 IVES CIR NW
LILBURN, GA 30047-8726
Phone number:
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