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Organization

MIND AND BODY NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH MUNGUIA (BILLING DIRECTOR)
(949) 430-7824
Entity
Organization

Contact information

Practice address
2350 SE BRISTOL ST STE 200, NEWPORT BEACH, CA 92660
(949) 430-7824
Mailing address
2350 SE BRISTOL ST STE 200, NEWPORT BEACH, CA 92660
(949) 430-7824

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
08/17/2015
Last updated
08/17/2015
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