Organization
COMMUNAL TABLE WELLNESS, LLC
Active
Other names
Communal Table Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LEE MS, RD (OWNER/DIETITIAN)
(860) 348-3281
Entity
Organization
Contact information
Practice address
601 W HOUSTON AVE, FULLERTON, CA 92832-3113
(860) 348-3281
Mailing address
1303 W VALENCIA DR # 278, FULLERTON, CA 92833-4034
(860) 348-3281
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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