# BE FOOD WISE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083487649
- **Authorized official:** BETH GOODRIDGE MS, RD, CSO (OWNER)
- **Authorized official phone:** (650) 954-7946

## Contact information

- **Practice address:** 931 10TH ST STE 771, MODESTO, CA 95354-2305
- **Practice address phone:** (209) 771-4717
- **Mailing address:** 612 SYCAMORE AVE, MODESTO, CA 95354-0151
- **Mailing address phone:** (650) 954-7946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 133VN1301X | Oncology Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1301X | Oncology Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2023
- **Last updated:** 11/03/2023