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Boundless Nutrition Llc
Clinic/Center in Fairfax, Virginia
NPI 1033828694

Boundless Nutrition Llc is a Clinic/Center based in Fairfax, VA. Boundless Nutrition Llc practices in Fairfax, VA. The NPI Number for Boundless Nutrition Llc is 1033828694 and holds a License No. (Virginia).

The current practice location address for Boundless Nutrition Llc is 13112 Moss Ranch Ln, Fairfax, VA and can be reached out via phone at 703-705-2720. You can also correspond with Boundless Nutrition Llc through the mailing address at 13112 MOSS RANCH LN, FAIRFAX, VA - 22033-3524 (mailing address contact number: 703-705-2720).

Location: 13112 Moss Ranch Ln, Fairfax, VA, 22033-3524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033828694
Provider Name
Boundless Nutrition Llc
Credential
Provider Entity Type
Organization
Address
13112 Moss Ranch Ln, Fairfax, VA, 22033-3524
Phone Number
703-705-2720
Fax Number
Provider Enumeration Date
11/22/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
13112 Moss Ranch Ln
City
Fairfax
State
Virginia
Zip
22033-3524
Phone Number
703-705-2720
Fax Number
person
Provider Business Mailing Address Details
Address
13112 Moss Ranch Ln
City
Fairfax
State
Virginia
Zip
22033-3524
Phone Number
703-705-2720
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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