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Organization

WISDOM FOODS INC

Active
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Organization

WISDOM FOODS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CINDY M DIFERDINAND M.S. (PRESIDENT/CLINICAL NUTTRITIONIST)
(714) 943-6206
Entity
Organization

Contact information

Practice address
16987 ALGONQUIN STREET SUITE L, HUNTINGTON BEACH, CA 92649
(714) 943-6206
Mailing address
16987 ALGONGUIN STREET SUITE L, HUNTINGTON BEACH, CA 92649
(714) 943-6206

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—

Other

Enumeration date
05/23/2016
Last updated
05/24/2016
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