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Organization
EDUCARE NUTRITION AND DIABETES LLC
Active
Organization
EDUCARE NUTRITION AND DIABETES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MILTON RD, CDE (OWNER)
(818) 330-4021
Entity
Organization
Contact information
Practice address
22554 VENTURA BLVD, 205, WOODLAND HILLS, CA 91364-1413
(818) 330-4021
Mailing address
22554 VENTURA BLVD, 205, WOODLAND HILLS, CA 91364-1413
(818) 330-4021
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
859147
CA
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
04/19/2012
Last updated
05/01/2012
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