| Fueled By Leo, Inc. | |
|
5100 N 6th St Ste 135, Fresno, CA 93710-7506 | |
| (559) 512-0404 | |
| Not Available |
| Full Name | Fueled By Leo, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 5100 N 6th St Ste 135, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336763473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Leonila Campos |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801329214 PECOS PAC ID: 6507115797 Enrollment ID: I20180821003668 |
| Provider Name | Paola Gabriela Anchondo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366171977 PECOS PAC ID: 0345695896 Enrollment ID: I20231018002568 |
| Mailing Address | Practice Location Address |
|---|---|
| Fueled By Leo, Inc. 4115 W Fremont Ave, Fresno, CA 93722-9001 Ph: (559) 512-0404 | Fueled By Leo, Inc. 5100 N 6th St Ste 135, Fresno, CA 93710-7506 Ph: (559) 512-0404 |
Tenley A Griffin, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 980 E Richmond Ave, Fresno, CA 93720 Phone: 559-593-0789 | |
Mrs. Doreen Kimiyo Diaz, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 215 N Fresno Street, Suite 370, Fresno, CA 93701 Phone: 559-459-4543 Fax: 559-459-1524 | |
Nickolas James Dicks, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1649 Van Ness Ave, Fresno, CA 93721 Phone: 888-530-4415 | |
Kathryn Vietti, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8525 N Cedar Ave, Fresno, CA 93720 Phone: 559-440-9200 | |
Mrs. Chao-yun Chen, MS, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2615 E Clinton Ave, Dept Of Nutrition And Food Service, Vacchcs, Fresno, CA 93703 Phone: 559-225-6100 Fax: 559-241-6483 | |
Mrs. Teryn Cook Buchanan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5305 N Fresno St Ste 103, Fresno, CA 93710 Phone: 559-824-8475 | |
Mrs. Melinda Susan Bush, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 290 N Wayte Ln, Fresno, CA 93701 Phone: 559-459-2739 |