Organization Name: | PREFERRED NUTRITION SERVICES, LLC |
NPI Number: | 1346463221 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARILYN DAHL (PRINCIPAL) |
Mailing Address: | 2380 3rd St S Jacksonville Beach |
State: | FL US |
Postal Code: | 322504072 |
Phone Number: | 9042701234 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |