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Organization
NUTRI-LIFE LLC
Active
Organization
NUTRI-LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAGGIE CHEN REGISTERED DIETITIAN (OWNER)
(626) 548-9858
Entity
Organization
Contact information
Practice address
3230 E IMPERIAL HWY STE 300, BREA, CA 92821-6751
(626) 548-9858
Mailing address
3230 E IMPERIAL HWY STE 300, BREA, CA 92821-6751
(626) 548-9858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
09/13/2023
Last updated
09/17/2023
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