Organization Name: | AG NUTRITION SERVICES LLC |
NPI Number: | 1477704146 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLISON GRAVES (OWNER) |
Mailing Address: | 1245 Wilshire Blvd Suite 305 Los Angeles |
State: | CA US |
Postal Code: | 900174810 |
Phone Number: | 6267688331 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 07/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 925528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |