Organization
BLENDWISE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN WISE RD (OWNER)
(805) 501-5381
Entity
Organization
Contact information
Practice address
1218 CALLE AURORA, CAMARILLO, CA 93010-8438
(805) 501-5381
Mailing address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
(805) 501-5381
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/14/2026
Last updated
04/05/2026
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