Organization
FUEL SHOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANGEL-QUINTERO (OWNER)
(909) 225-7031
Entity
Organization
Contact information
Practice address
1584 N EUCLID AVE, UPLAND, CA 91786-2303
(909) 225-7031
Mailing address
1584 N EUCLID AVE, UPLAND, CA 91786-2303
(909) 225-7031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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