Organization
I&E NUTRITION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL OLIVER (ADMINISTRATOR)
(951) 824-9155
Entity
Organization
Contact information
Practice address
12222 BRIANWOOD DR, RIVERSIDE, CA 92503-6752
(951) 824-9155
(866) 534-7560
Mailing address
12222 BRIANWOOD DR, RIVERSIDE, CA 92503-6752
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
860369
CA
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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