123 NUTRITION, L.L.C.

MONROE, NC
NPI1598253668
Entity TypeOrganization
Authorized ContactDAVID G STONER
Owner/Registered Dietitian
704-691-5862
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NC  L005319)
Enumeration Date2018-04-24
Last Update Date2018-04-24
Business Address
123 NUTRITION, L.L.C.
2715 GUSTY LN
MONROE, NC 28110-8001
Phone number: 704-691-5862
Mailing Address
123 NUTRITION, L.L.C.
2715 GUSTY LN
MONROE, NC 28110-8001
Phone number: 704-691-5862