| Soul Of Nutrition And Fitness Llc | |
|
34224 Gadwall Cmn Fremont CA 94555-3001 | |
| (510) 557-2727 | |
| Not Available |
| Full Name | Soul Of Nutrition And Fitness Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 34224 Gadwall Cmn, Fremont, California |
| Authorized Official Name and Position | Makayla Davis (OWNER/CLINICAL NUTRITIONIST) |
| Authorized Official Contact | 5105572727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Of Nutrition And Fitness Llc 35111f Newark Blvd Unit 487 Newark CA 94560-1219 Ph: () - | Soul Of Nutrition And Fitness Llc 34224 Gadwall Cmn Fremont CA 94555-3001 Ph: (510) 557-2727 |
| NPI Number | 1922825934 |
|---|---|
| Provider Enumeration Date | 09/21/2024 |
| Last Update Date | 09/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922825934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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