Organization
FUELED NUTRITION THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIKA IMANDEL RDN (OWNER)
(818) 633-8023
Entity
Organization
Contact information
Practice address
890 HAMPSHIRE RD STE E, WESTLAKE VILLAGE, CA 91361-2873
(818) 633-8023
Mailing address
890 HAMPSHIRE RD STE E, WESTLAKE VILLAGE, CA 91361-2873
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
08/01/2022
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