Organization
ADVANCED WELLNESS AND NUTRITION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE NIELSEN DC (OWNER)
(408) 395-6995
Entity
Organization
Contact information
Practice address
321 LOS GATOS SARATOGA RD, LOS GATOS, CA 95030-5310
(408) 395-6995
Mailing address
321 LOS GATOS SARATOGA RD, LOS GATOS, CA 95030-5310
(408) 395-6995
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
22103
CA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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