Organization
360 NUTRITION CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEA JOHANNA PALACE RDN (OWNER)
(805) 444-5919
Entity
Organization
Contact information
Practice address
400 MOBIL AVE STE D9, CAMARILLO, CA 93010-6376
(805) 738-5700
Mailing address
400 MOBIL AVE STE D9, CAMARILLO, CA 93010-6376
(805) 738-5700
(805) 738-5701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/03/2017
Last updated
07/15/2026
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