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Organization
WHOLE NEW START, INC
Active
Organization
WHOLE NEW START, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI NUSSBAUM C.N. (PRESIDENT)
(310) 985-8284
Entity
Organization
Contact information
Practice address
3821 BERRY DR, STUDIO CITY, CA 91604-3858
(310) 985-8284
Mailing address
3821 BERRY DR, STUDIO CITY, CA 91604-3858
(310) 985-8284
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
NULL
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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