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Organization
NUTRITION BY GWEN CONSULTING CORP.
Active
Organization
NUTRITION BY GWEN CONSULTING CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN MOORE MPH, RD (OWNER)
(714) 552-3802
Entity
Organization
Contact information
Practice address
18821 DELAWARE ST STE 236, HUNTINGTON BEACH, CA 92648-1935
(714) 552-3802
Mailing address
11821 DELAWARE ST. STE. 236, HUNTINGTON BEACH, CA 92648
(714) 552-3802
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
12/31/2020
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