Organization · Type 2 NPI

Boundless Nutrition LLC

Clinic/Center · Fairfax, VA

NPI number 1033828694 Active

Practice location

13112 Moss Ranch Ln
Fairfax, VA 22033-3524

Call (703) 705-2720 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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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About NPI 1033828694

Boundless Nutrition LLC's National Provider Identifier is 1033828694, issued on Nov 22, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fairfax, VA. The record was last updated on Nov 22, 2022.