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Organization

CLEAR BLUE NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY C BLUE RDN (SOLE MEMBER)
(916) 572-5122
Entity
Organization

Contact information

Practice address
2607 BLACKBURN DR, DAVIS, CA 95618-1542
(916) 572-5122
(530) 298-2918
Mailing address
1520 E COVELL BLVD STE B5, DAVIS, CA 95616-1366
(916) 572-5122
(530) 298-2918

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
06/13/2025
Last updated
04/09/2026
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