| Nutrible Inc | |
|
2416 Spectrum Irvine CA 92618-3138 | |
| (708) 502-2828 | |
| Not Available |
| Full Name | Nutrible Inc |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 2416 Spectrum, Irvine, California |
| Authorized Official Name and Position | Kwamane Liddell (CEO) |
| Authorized Official Contact | 7085022828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrible Inc 2416 Spectrum Irvine CA 92618-3138 Ph: (708) 502-2828 | Nutrible Inc 2416 Spectrum Irvine CA 92618-3138 Ph: (708) 502-2828 |
| NPI Number | 1619606571 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 10/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619606571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
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