Proactive Nutrition & Wellness INC

NPI #1467075663 in Coos Bay, Oregon

Provider Information

NPI Number
1467075663
Entity Type
Organization
Organization Name
Proactive Nutrition & Wellness INC
Primary Specialty
Clinic/Center
Enumeration Date
May 21, 2020
Last Updated
May 21, 2020

Practice Location

Address
1455 LAUREL AVE
State
Oregon
ZIP Code
97420-2167
Phone
(727) 409-0016

Authorized Official

Name
MR. ANDREW WINQUIST, RD/LDN
Title
PRESIDENT
Phone
(727) 409-0016

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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