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Organization

GUARDIAN WELLNESS, LLC

Active
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Organization

GUARDIAN WELLNESS, LLC

Active
Other names
Guardian Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARTHA LAWDER MS RD (REGISTERED DIETITIAN)
(850) 748-9229
Entity
Organization

Contact information

Practice address
1212 CONSTITUTION CT, ROSEVILLE, CA 95747-7407
(850) 748-9229
Mailing address
116 S GRANT ST STE 110-781, ROSEVILLE, CA 95678-2648
(850) 748-9229

Taxonomy

Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
NULL
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
—

Other

Enumeration date
06/12/2025
Last updated
06/12/2025
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