| Nikki Jupe Nutrition Llc | |
|
1928 5th St Apt 27 Springfield OR 97477-2291 | |
| (254) 366-9204 | |
| Not Available |
| Full Name | Nikki Jupe Nutrition Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1928 5th St Apt 27, Springfield, Oregon |
| Authorized Official Name and Position | Nikki Jupe (OWNER) |
| Authorized Official Contact | 2543669204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikki Jupe Nutrition Llc 1928 5th St Apt 27 Springfield OR 97477-2291 Ph: (254) 366-9204 | Nikki Jupe Nutrition Llc 1928 5th St Apt 27 Springfield OR 97477-2291 Ph: (254) 366-9204 |
| NPI Number | 1881210649 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881210649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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