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Organization
NORTH CAL NUTRITION
Active
Organization
NORTH CAL NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYNESHA ZACARIAS (OWNER)
(916) 544-1256
Entity
Organization
Contact information
Practice address
9198 GREENBACK LN, ORANGEVALE, CA 95662-5900
(916) 544-1256
Mailing address
117 ELKHORN BLVD, RIO LINDA, CA 95673-3214
(916) 544-1256
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
Other
Enumeration date
09/05/2026
Last updated
09/05/2026
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