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Nicklaus Blake Perry, CNC,CPT,CES
Nutrition Education Nutritionist in Venice, California
NPI 1558048967

Nicklaus Blake Perry is a Nutrition Education Nutritionist based in Venice, CA and is specialized in Nutrition, Education. Nicklaus Blake Perry practices in Venice, CA and has the professional credentials of CNC,CPT,CES. The NPI Number for Nicklaus Blake Perry is 1558048967 and holds a License No. (California).

The current practice location address for Nicklaus Blake Perry is 1019 Elkgrove Ave Apt 3, Venice, CA and can be reached out via phone at 818-826-3090.

Location: 1019 Elkgrove Ave Apt 3, Venice, CA, 90291-6113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558048967
Provider Name
Nicklaus Blake Perry
Credential
CNC,CPT,CES
Provider Entity Type
Individual
Gender
Male
Address
1019 Elkgrove Ave Apt 3, Venice, CA, 90291-6113
Phone Number
818-826-3090
Fax Number
Provider Enumeration Date
06/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1019 Elkgrove Ave Apt 3
City
Venice
State
California
Zip
90291-6113
Phone Number
818-826-3090
Fax Number
person
Provider Business Mailing Address Details
Address
1019 Elkgrove Ave Apt 3
City
Venice
State
California
Zip
90291-6113
Phone Number
818-826-3090
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
133NN1002X
License No.
()
Definition
Definition to come...
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