Organization
BIONUTRAX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIKATERINI KATHY XYDIS DCN, CNS, LDN (OWNER, DOCTOR OF CLINICAL NUTRITION)
(323) 481-1787
Entity
Organization
Contact information
Practice address
1806 9TH ST APT A, SANTA MONICA, CA 90404-4577
(323) 481-1787
Mailing address
1806 9TH ST APT A, SANTA MONICA, CA 90404-4577
(323) 481-1787
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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