Untamed Nutrition Therapy, Llc | |
621 Forest Ave Ste 3a, Pacific Grove, CA 93950-4264 | |
(517) 775-5008 | |
(844) 444-0943 |
Full Name | Untamed Nutrition Therapy, Llc |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 621 Forest Ave Ste 3a, Pacific Grove, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013665637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Allison Leigh Bone |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1790227908 PECOS PAC ID: 4688931504 Enrollment ID: I20230330000544 |
Mailing Address | Practice Location Address |
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Untamed Nutrition Therapy, Llc 753 Laine St, Monterey, CA 93940-1130 Ph: (517) 775-5008 | Untamed Nutrition Therapy, Llc 621 Forest Ave Ste 3a, Pacific Grove, CA 93950-4264 Ph: (517) 775-5008 |
Alexandra Nicole Lessa, RD Dietitian Medicare: Medicare Enrolled Practice Location: 708 Crocker Ave Unit B, Pacific Grove, CA 93950 Phone: 530-520-5118 | |
Ms. Suzanne M Le Bon, RD, CNSC, CLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 611 Granite St, Pacific Grove, CA 93950 Phone: 831-641-0576 | |
Jennifer Nader, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 165 Pacific Ave, Pacific Grove, CA 93950 Phone: 917-890-7501 |