Organization
GUT BRAIN BODY
Active
Other names
Max You Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PRATHER (OWNER)
(302) 897-2621
Entity
Organization
Contact information
Practice address
2048 OLIVER AVE APT A, SAN DIEGO, CA 92109-5568
(302) 897-2621
(302) 274-0071
Mailing address
2048 OLIVER AVE APT A, SAN DIEGO, CA 92109-5568
(302) 897-2621
(302) 274-0071
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/23/2022
Last updated
08/03/2023
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