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Organization
AVENTURINE WELLNESS LLC
Active
Organization
AVENTURINE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH BURNETT (OWNER)
(928) 245-2940
Entity
Organization
Contact information
Practice address
8780 WARNER AVE STE 11, FOUNTAIN VALLEY, CA 92708-3210
(928) 245-2940
Mailing address
6226 E SPRING ST STE 275, LONG BEACH, CA 90815-1455
(928) 245-2940
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
—
NULL
111NN1001X
Nutrition Chiropractor
—
—
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/24/2024
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