Organization
LIZ CAZ NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BOLDUC RD (REGISTERED DIETITIAN, OWNER)
(949) 338-4154
Entity
Organization
Contact information
Practice address
2138 LOGGIA, NEWPORT BEACH, CA 92660-9038
(949) 338-4154
Mailing address
2138 LOGGIA, NEWPORT BEACH, CA 92660-9038
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
01/11/2022
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