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Organization

PATH WELLNESS LLC

Active
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Organization

PATH WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SRIDEVI SRINIVASAN RDN, CHWC (REGISTERED DIETITIAN NUTRITIONIST)
(408) 598-6064
Entity
Organization

Contact information

Practice address
5067 DURANGO CT, SAN JOSE, CA 95118-2317
(408) 598-6064
Mailing address
5067 DURANGO CT, SAN JOSE, CA 95118-2317
(408) 598-6064

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
133NN1002X
Nutrition Education Nutritionist
133V00000X
Registered Dietitian
Primary
171400000X
Health & Wellness Coach

Other

Enumeration date
04/07/2021
Last updated
04/07/2021
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