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Organization
BIONUTRAX LLC
Active
Organization
BIONUTRAX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIKATERINI KATHY XYDIS DCN, CNS, LDN (OWNER, DOCTOR OF CLINICAL NUTRITION)
(323) 481-1787
Entity
Organization
Contact information
Practice address
1806 9TH ST APT A, SANTA MONICA, CA 90404-4577
(323) 481-1787
Mailing address
1806 9TH ST APT A, SANTA MONICA, CA 90404-4577
(323) 481-1787
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
NULL
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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