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Organization
MV NUTRITION, LLC
Active
Organization
MV NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL VILLACORTA (SOLE PROPRIETOR/REGISTERED DIEITIAN)
(415) 398-2102
Entity
Organization
Contact information
Practice address
760 MARKET ST, SUITE 324, SAN FRANCISCO, CA 94102-2401
(415) 398-2102
Mailing address
760 MARKET ST, SUITE 324, SAN FRANCISCO, CA 94102-2401
(415) 398-2102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
439198
CA
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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