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Organization
BE FOOD WISE
Active
Organization
BE FOOD WISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH GOODRIDGE MS, RD, CSO (OWNER)
(650) 954-7946
Entity
Organization
Contact information
Practice address
931 10TH ST STE 771, MODESTO, CA 95354-2305
(209) 771-4717
Mailing address
612 SYCAMORE AVE, MODESTO, CA 95354-0151
(650) 954-7946
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
—
NULL
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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