| Lifetime Nutrition And Wellness Llc | |
|
5592 Davis Blvd, N Richland Hills, TX 76180-5202 | |
| (817) 718-9412 | |
| Not Available |
| Full Name | Lifetime Nutrition And Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 5592 Davis Blvd, N Richland Hills, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639739816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Nutrition And Wellness Llc Po Box 820472, N Richland Hills, TX 76182-0472 Ph: (817) 718-9412 | Lifetime Nutrition And Wellness Llc 5592 Davis Blvd, N Richland Hills, TX 76180-5202 Ph: (817) 718-9412 |
Kimberly Ann Glaser, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5592 Davis Blvd, N Richland Hills, TX 76180 Phone: 817-718-9412 Fax: 682-200-3258 | |
Cherie Head, R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7500 Lola Dr, N Richland Hills, TX 76180 Phone: 817-239-7223 Fax: 817-428-0589 |