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NIKKI MALENSKY

>> Nutritionist >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1457802597

Individual Registrant:
 NIKKI  MALENSKY 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1035 SIPSEY FORK RD  DETROIT, AL 35552-2024 US
Tel: 636-439-0184  Fax: --

Contact information for business:
1035 SIPSEY FORK RD  DETROIT, AL 35552-2024 US
Tel: 636-439-0184  Fax: --

Registration Information:
NPI: 1457802597
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133N00000XDietary & Nutritional Service Providers
Nutritionist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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