Organization
GWEN VEZIN NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENAELLE JEANNE VEZIN RDN (SOLE MEMBER)
(650) 935-2388
Entity
Organization
Contact information
Practice address
171 JARDIN DR, LOS ALTOS, CA 94022-1722
(650) 935-2388
Mailing address
171 JARDIN DR, LOS ALTOS, CA 94022-1722
(650) 935-2388
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568815041
NPPES
—
Enumeration date
06/13/2022
Last updated
06/13/2022
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