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Organization

MOG NUTRICION CLINICA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIELY OLIVERO MHSCN, LND (NUTRITIONIST)
(787) 307-0844
Entity
Organization

Contact information

Practice address
4NN4 VIA GEORGINA, CAROLINA, PR 00983-4746
(787) 603-9706
Mailing address
22 CALLE FLORIDIANO APT 2205, CAROLINA, PR 00987-7708
(787) 603-9706

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
07/16/2026
Last updated
07/16/2026
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