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Organization

SUPPORT SOLUTIONS

Active
Other names
Nutrition Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
JAN L SPEER RD (OWNDER)
(916) 202-5609
Entity
Organization

Contact information

Practice address
559 16TH ST, OAKLAND, CA 94612-1515
(916) 202-5609
(916) 673-6059
Mailing address
559 16TH ST, OAKLAND, CA 94612-1515
(916) 202-5609
(916) 673-6059

Taxonomy

Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
504029
CA

Other

Enumeration date
12/01/2014
Last updated
12/01/2014
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