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Organization

NUTRITION STUDIO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAMELA S WARMERDAM MS RD CDE (DIABETES EDUCATOR PROGRAM COORD.)
(209) 832-3432
Entity
Organization

Contact information

Practice address
447 W EATON AVE, TRACY, CA 95376
(209) 832-3432
(209) 830-7361
Mailing address
PO BOX 986, WOODBRIDGE, CA 95258-0986
(209) 832-3432
(209) 830-7361

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CA

Other

Enumeration date
01/27/2006
Last updated
08/22/2020
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