Organization
BALANCE NUTRITION WITH ANDI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDI COFFEE (CEO)
(623) 688-1498
Entity
Organization
Contact information
Practice address
41810 N VENTURE DR UNIT C122, ANTHEM, AZ 85086-3172
(623) 688-1498
Mailing address
41810 N VENTURE DR UNIT C122, ANTHEM, AZ 85086-3172
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
06/04/2024
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