Organization
MAUI NUTRITION THERAPY LLC
Active
Other names
Maui Nutrition Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA G DE ROODE (OWNER)
(808) 269-9633
Entity
Organization
Contact information
Practice address
17732 HALEAKALA HWY, KULA, HI 96790-8036
(808) 269-9633
(808) 862-6520
Mailing address
PO BOX 1147, KULA, HI 96790-1147
(808) 269-9633
(808) 862-6520
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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