Organization
JOHN CANLAS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PATRICK CANLAS REGISTERED DIETITIAN (OWNER)
(909) 362-9434
Entity
Organization
Contact information
Practice address
2075 DIAMOND BLVD STE H-210, CONCORD, CA 94520-5827
(909) 362-9434
Mailing address
1647 WILLOW PASS RD, CONCORD, CA 94520-2611
(909) 362-9434
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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