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Organization

MS. WELLNESS NUTRITION, INC.

Active
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Organization

MS. WELLNESS NUTRITION, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MIE MIE CHIU RD (REGISTERED DIETITIAN/OWNER)
(858) 775-6252
Entity
Organization

Contact information

Practice address
21030 REDWOOD RD, CASTRO VALLEY, CA 94546-5920
(510) 538-0430
Mailing address
276 PALM VALLEY BLVD APT 205, SAN JOSE, CA 95123-1049
(858) 775-6252

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
863957
CA
133VN1005X
Renal Nutrition Registered Dietitian
863957
CA
133VN1006X
Metabolic Nutrition Registered Dietitian
863957
CA

Other

Enumeration date
09/08/2017
Last updated
09/08/2017
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