Simplistic Nutrition Llc | |
116 W Grand Ave Ste 210 Port Washington WI 53074-2242 | |
(224) 221-1339 | |
Not Available |
Full Name | Simplistic Nutrition Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 116 W Grand Ave Ste 210, Port Washington, Wisconsin |
Authorized Official Name and Position | Brianna Jurss (OWNER) |
Authorized Official Contact | 2242211339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Simplistic Nutrition Llc 817 Glenlyon Ln Port Washington WI 53074-9691 Ph: (224) 221-1339 | Simplistic Nutrition Llc 116 W Grand Ave Ste 210 Port Washington WI 53074-2242 Ph: (224) 221-1339 |
NPI Number | 1063258275 |
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Provider Enumeration Date | 07/08/2024 |
Last Update Date | 07/08/2024 |
Certification Date | 07/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063258275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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