Organization
NUTRIWELL DIET & WELLNESS CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN MANCHA MCLEAN RD, LD (CO-OWNER)
(956) 645-9716
Entity
Organization
Contact information
Practice address
524 ANASAZI CT, EL PASO, TX 79912-1271
(956) 645-9716
Mailing address
524 ANASAZI CT, EL PASO, TX 79912-1271
(956) 645-9716
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003300419
NPI
TX
Enumeration date
01/05/2019
Last updated
01/05/2019
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