Organization
ACTIVE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS CAREY WHITE III (CFO)
(415) 377-8595
Entity
Organization
Contact information
Practice address
600 CALIFORNIA ST FL 11, SAN FRANCISCO, CA 94108-2727
(415) 377-8595
Mailing address
PO BOX 2358, SAN FRANCISCO, CA 94126-2358
(415) 377-8595
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
06/28/2020
Last updated
06/28/2020
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