Organization
NATURAL HEALTH
Active
Other names
Functional Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAN KIELMANN MS, CNS, IFMCP (PRESIDENT)
(909) 810-0858
Entity
Organization
Contact information
Practice address
112 E OLIVE AVE STE F, REDLANDS, CA 92373-5281
(909) 810-0858
Mailing address
10600 HIGHLAND SPRINGS AVE, CHERRY VALLEY, CA 92223-5548
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
05/23/2017
Last updated
09/19/2019
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