Blendwise Nutrition
Dietitian, Registered in Camarillo, CA. Organization (NPI-2).
NPI number1184571465
StatusActive
Last updated in NPPESOct 25, 2026
Details
- NPI
- 1184571465
- Entity type
- Organization (NPI-2)
- Legal business name
- Blendwise Nutrition
- Organization subpart
- No
- Enumeration date
- Mar 14, 2026
- Certification date
- Oct 25, 2026
- Last updated
- Oct 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
1218 Calle AuroraCamarillo, CA 93010-8438
Phone 805-501-5381
Mailing address
2108 N St Ste NSacramento, CA 95816-5712
Phone 805-501-5381
Authorized official
Colleen Wise
Owner
8055015381
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