Organization
MAD HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELEINE NAOMI WEITZNER MS, MA, RD (DIRECTOR OF NUTRITION SERVICES)
(303) 720-4789
Entity
Organization
Contact information
Practice address
300 ROLLING OAKS DR APT 306, THOUSAND OAKS, CA 91361-1254
(303) 720-4789
Mailing address
300 ROLLING OAKS DR APT 306, THOUSAND OAKS, CA 91361-1254
(303) 720-4789
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215646328
—
CO
Enumeration date
06/02/2023
Last updated
06/06/2023
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