Organization
STARBERRIE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIE NGUYEN DCN, CNS, LDN (OWNER/CEO)
(818) 293-7367
Entity
Organization
Contact information
Practice address
2460 39TH AVE, SAN FRANCISCO, CA 94116-2153
(818) 293-7367
Mailing address
2460 39TH AVE, SAN FRANCISCO, CA 94116-2153
(818) 293-7367
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/18/2021
Last updated
09/22/2023
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