Organization
MY DIABETES NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ORTIZ RD (MANAGER)
(541) 936-2656
Entity
Organization
Contact information
Practice address
1835 W 13TH AVE, JUNCTION CITY, OR 97448-1115
(541) 936-2656
Mailing address
1835 W 13TH AVE, JUNCTION CITY, OR 97448-1115
(541) 936-2656
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
01/22/2024
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