Nutreur Llc | |
770 Tamalpais Dr Suite 206 Corte Madera CA 94925-1700 | |
(808) 286-0544 | |
Not Available |
Full Name | Nutreur Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 770 Tamalpais Dr, Corte Madera, California |
Authorized Official Name and Position | Dina Young (COO) |
Authorized Official Contact | 8082860544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nutreur Llc 1191 Simmons Ln Novato CA 94945-1735 Ph: (808) 286-0544 | Nutreur Llc 770 Tamalpais Dr Suite 206 Corte Madera CA 94925-1700 Ph: (808) 286-0544 |
NPI Number | 1770019317 |
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Provider Enumeration Date | 05/02/2017 |
Last Update Date | 05/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770019317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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