Soulflower Nutrition LLC

NPI #1205603784 in Crestline, California

Provider Information

NPI Number: 1205603784
Entity Type: Organization
Organization Name: Soulflower Nutrition LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Dec 5, 2023
Last Updated: Dec 5, 2023

Practice Location

Address: 109 ZERMAT DR # 1389
City: Crestline
State: California
ZIP Code: 92325-9391
Phone: (909) 897-3002

Authorized Official

Name: JESSICA LYNN MEYLE, RD
Title: PRESIDENT
Phone: (909) 897-3002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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