Organization
LIFELONG NUTRITION AND FITNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CHUDAK (PRESIDENT)
(805) 743-4078
Entity
Organization
Contact information
Practice address
740 N H ST # 156, LOMPOC, CA 93436-4521
(805) 743-4078
Mailing address
740 N H ST # 156, LOMPOC, CA 93436-4521
(805) 743-4078
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
09/04/2024
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