Organization
GENKI NUTRITION
Active
Other names
Genki Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN AARON VALDEZ RDN, CSG, CDN, CDCES (REGISTERED DIETITIAN/OWNER)
(808) 358-4275
Entity
Organization
Contact information
Practice address
2110 30TH AVE APT 1, ASTORIA, NY 11102-4565
(808) 358-4275
Mailing address
2110 30TH AVE APT 1, ASTORIA, NY 11102-4565
(808) 358-4275
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/19/2020
Last updated
09/19/2020
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