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Organization
GENKI NUTRITION
Active
Organization
GENKI NUTRITION
Active
Other names
Genki Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN AARON VALDEZ RDN, CSG, CDN, CDCES (REGISTERED DIETITIAN/OWNER)
(808) 358-4275
Entity
Organization
Contact information
Practice address
2110 30TH AVE APT 1, ASTORIA, NY 11102-4565
(808) 358-4275
Mailing address
2110 30TH AVE APT 1, ASTORIA, NY 11102-4565
(808) 358-4275
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/19/2020
Last updated
09/19/2020
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