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Organization
NUTRIBLE INC
Active
Organization
NUTRIBLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWAMANE LIDDELL JD, RN (CEO)
(708) 502-2828
Entity
Organization
Contact information
Practice address
2416 SPECTRUM, IRVINE, CA 92618-3138
(708) 502-2828
Mailing address
2416 SPECTRUM, IRVINE, CA 92618-3138
(708) 502-2828
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/07/2022
Last updated
10/06/2022
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