Organization
INTEGRATED NUTRITION CONSULTANTS LLC
Active
Other names
INC Nutrition LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNA DENISE MOORE-LIESTER RD, CSSD (NUTRITIONAL OPERATIONS MANAGER)
(719) 684-5754
Entity
Organization
Contact information
Practice address
5950 CANOGA AVE STE 420, WOODLAND HILLS, CA 91367-5037
(719) 684-5754
Mailing address
5950 CANOGA AVE STE 420, WOODLAND HILLS, CA 91367-5037
(719) 684-5754
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
11/24/2021
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