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Organization

STAYING AGELESS INC.

Active
Other names
Raw Girl Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
ESOSA EDOSOMWAN MS, CNS, LDN (CEO &CERTIFIED NUTRITION SPECIALIST)
(650) 797-8890
Entity
Organization

Contact information

Practice address
1530 W SAM HOUSTON PKWY N STE 117, HOUSTON, TX 77043-3159
(202) 719-5295
Mailing address
10780 WESTVIEW DR STE F, HOUSTON, TX 77043-5038
(202) 719-5295

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
133NN1002X
Nutrition Education Nutritionist

Other

Enumeration date
04/13/2023
Last updated
04/13/2023
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