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Apple Red Nutrition Services

Dietitian, Registered in San Bernardino, CA. Organization (NPI-2).

NPI number1588264337
StatusActive
Last updated in NPPESFeb 16, 2022

Details

NPI
1588264337
Entity type
Organization (NPI-2)
Legal business name
Apple Red Nutrition Services
Organization subpart
No
Enumeration date
Oct 30, 2020
Certification date
Feb 16, 2022
Last updated
Feb 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

341 W 2nd St Ste 3
San Bernardino, CA 92401-1804

Phone 909-513-5351 · Fax 909-635-6132

Mailing address

10881 Poplar St
Loma Linda, CA 92354-2226

Phone 909-528-9828

Authorized official

Afua-Bema Isoken Khumalo
Owner
9095289828

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