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Organization

SOUTHWEST HEALTY LIVING

Active
Other names
Nutrawise
Organization subpart
No

Provider details

NPI number
Authorized official
KATRINA SPEARS-OCANAS CCN, MS (CLINICAL DIRECTOR)
(210) 471-1127
Entity
Organization

Contact information

Practice address
16350 BLANCO RD. STE 111, NUTRAWISE, SAN ANTONIO, TX 78232
(210) 471-1127
(210) 579-6932
Mailing address
16350 BLANCO RD. STE. 111, NUTRAWISE, SAN ANTONIO, TX 78232
(210) 471-1127
(210) 579-6932

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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