Genki Nutrition

NPI #1891301479 in Astoria, New York

Provider Information

NPI Number: 1891301479
Entity Type: Organization
Organization Name: Genki Nutrition
Primary Specialty: Dietitian, Registered
Enumeration Date: Sep 19, 2020
Last Updated: Sep 19, 2020

Practice Location

Address: 2110 30TH AVE APT 1
City: Astoria
State: New York
ZIP Code: 11102-4565
Phone: (808) 358-4275

Authorized Official

Name: MR. JONATHAN AARON VALDEZ, RDN, CSG, CDN, CDCES
Title: REGISTERED DIETITIAN/OWNER
Phone: (808) 358-4275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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