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Individual

ANISHA SHUKLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, FMCHC, NDPP

Contact information

Practice address
9940 TALBERT AVE # 101, FOUNTAIN VALLEY, CA 92708-5153
(714) 545-8700
Mailing address
9940 TALBERT AVE # 101, FOUNTAIN VALLEY, CA 92708-5153
(714) 545-8700

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
CA
171400000X
Health & Wellness Coach
CA

Other

Enumeration date
04/14/2021
Last updated
12/28/2025
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