Organization
MEDICAL NUTRITION MAUI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI CARRENO RD (OWNER)
(808) 283-8859
Entity
Organization
Contact information
Practice address
37 LAUIE DR, KULA, HI 96790-7200
(808) 760-2284
Mailing address
37 LAUIE DR, KULA, HI 96790-7200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
928923
HI
Other
Enumeration date
04/03/2014
Last updated
10/18/2014
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