Organization
CORE NUTRITION GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ROBERTS MS, RD (DIETITIAN SUPERVISOR)
(951) 346-0064
Entity
Organization
Contact information
Practice address
299702 TECHNOLOGY DRIVE, SUITE 105-D, MURRIETA, CA 92563
(951) 346-0064
Mailing address
29970 TECHNOLOGY DR STE 105D, MURRIETA, CA 92563-2646
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/31/2023
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