Organization
ELEMENT NUTRITION COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYNN GUST RD (OWNER)
(805) 550-1724
Entity
Organization
Contact information
Practice address
405 E. BRANCH ST. #102, ARROYO GRANDE, CA 93420
(805) 550-1724
(805) 476-1435
Mailing address
249 STAGECOACH RD., ARROYO GRANDE, CA 93420
(805) 550-1724
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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