Organization
ADVANCED NUTRITION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA LEIGH LEVINE M.S., R.D. (PRESIDENT)
(310) 367-8190
Entity
Organization
Contact information
Practice address
3834 VISTA AZUL, SAN CLEMENTE, CA 92672-4542
(310) 367-8190
(949) 492-9492
Mailing address
3834 VISTA AZUL, SAN CLEMENTE, CA 92672-4542
(310) 367-8190
(949) 492-9492
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
04/15/2008
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