Organization
MARISSA KENT NUTRITION
Active
Other names
Nutrition For Life
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA ANNE KENT RD, CDE (OWNER)
(949) 378-1047
Entity
Organization
Contact information
Practice address
26461 CROWN VALLEY PKWY, SUITE 100, MISSION VIEJO, CA 92691-6377
(949) 378-1047
Mailing address
26461 CROWN VALLEY PKWY, SUITE 100, MISSION VIEJO, CA 92691-6377
(949) 378-1047
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
928627
CA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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