| Nourished Fox, Llc | |
|
101 E Coso Ave # 656, Ridgecrest, CA 93555-3655 | |
| (818) 391-0097 | |
| Not Available |
| Full Name | Nourished Fox, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered - Nutrition, Renal |
| Location | 101 E Coso Ave # 656, Ridgecrest, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104447515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | (NU) | Primary |
| 163WD0400X | Registered Nurse - Diabetes Educator | (NU) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Nourished Fox, Llc 101 E Coso Ave # 656, Ridgecrest, CA 93555-3655 Ph: (818) 391-0097 | Nourished Fox, Llc 101 E Coso Ave # 656, Ridgecrest, CA 93555-3655 Ph: (818) 391-0097 |
Jill Kristine Rachels, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 900 N Heritage Dr Ste E2, Ridgecrest, CA 93555 Phone: 760-446-7978 Fax: 760-446-5998 |
Julie Merrell, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1540 Mayo St, Ridgecrest, CA 93555 Phone: 760-301-6889 |
Mrs. Amy Beth Fuller, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1081 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3781 Fax: 760-446-3551 |