Medical Nutrition Maui LLC
Dietitian, Registered in Kula, HI. Organization (NPI-2).
NPI number1184042467
StatusActive
Last updated in NPPESOct 18, 2014
Details
- NPI
- 1184042467
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Nutrition Maui LLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2014
- Last updated
- Oct 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 928923 | HI | Yes |
Practice location
37 Lauie DrKula, HI 96790-7200
Phone 808-760-2284
Mailing address
37 Lauie DrKula, HI 96790-7200
Authorized official
Naomi Carreno
Owner
8082838859
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