Organization
BIO WELL NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELE NICOLE DELLA VALLE NTP (OWNER)
(949) 413-1422
Entity
Organization
Contact information
Practice address
1104 MAIN ST, SUITE 550D, VANCOUVER, WA 98660-2999
(949) 413-1422
Mailing address
22101 NE 99TH ST, VANCOUVER, WA 98682-9785
(949) 413-1422
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
WA
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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