Organization
SOUL OF NUTRITION AND FITNESS LLC
Active
Organization
SOUL OF NUTRITION AND FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKAYLA DAVIS MS, CNS, LDN, CN (OWNER/CLINICAL NUTRITIONIST)
(510) 557-2727
Entity
Organization
Contact information
Practice address
34224 GADWALL CMN, FREMONT, CA 94555-3001
(510) 557-2727
Mailing address
35111F NEWARK BLVD UNIT 487, NEWARK, CA 94560-1219
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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