Provider Demographics
NPI:1497497390
Name:FUEL4U, LLC
Entity Type:Organization
Organization Name:FUEL4U, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:CARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZALLER
Authorized Official - Suffix:
Authorized Official - Credentials:CNS
Authorized Official - Phone:410-707-1691
Mailing Address - Street 1:7148 MORNING LIGHT TRL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4908
Mailing Address - Country:US
Mailing Address - Phone:410-707-1691
Mailing Address - Fax:
Practice Address - Street 1:7148 MORNING LIGHT TRL
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-4908
Practice Address - Country:US
Practice Address - Phone:410-707-1691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service