Organization
WHOLE LIFE BALANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE GRIFFIN CNP (PRESIDENT)
(310) 348-0500
Entity
Organization
Contact information
Practice address
7171 MACAPA DR, LOS ANGELES, CA 90068-2003
(310) 348-0500
(310) 348-0201
Mailing address
7171 MACAPA DR, LOS ANGELES, CA 90068-2003
(310) 348-0500
(310) 348-0201
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
999999999
CA
Other
Enumeration date
12/01/2014
Last updated
12/04/2014
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