Active Wellness LLC
NPI #1114544970 in San Francisco, California
Provider Information
- NPI Number
- 1114544970
- Entity Type
- Organization
- Organization Name
- Active Wellness LLC
- Primary Specialty
- Dietitian, Registered - Nutrition, Obesity and Weight Management
- Enumeration Date
- Jun 28, 2020
- Last Updated
- Jun 28, 2020
Practice Location
- Address
- 600 CALIFORNIA ST FL 11
- City
- San Francisco
- State
- California
- ZIP Code
- 94108-2727
- Phone
- (415) 377-8595
Authorized Official
- Name
- MR. THOMAS CAREY WHITE III
- Title
- CFO
- Phone
- (415) 377-8595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered - Nutrition, Obesity and Weight Management — Nutrition, Obesity and Weight Management |
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