Organization
RISA GROUX NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISA GROUX CN (CLINICAL NUTRITIONIST)
(949) 851-3106
Entity
Organization
Contact information
Practice address
20151 SW BIRCH ST, SUITE 200, NEWPORT BEACH, CA 92660-1793
(949) 851-3106
Mailing address
20151 SW BIRCH ST, SUITE 200, NEWPORT BEACH, CA 92660-1793
(949) 851-3106
(949) 851-5901
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
CA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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