Provider Demographics
NPI:1770069429
Name:3NATURAL BIO NUTRITION LLC
Entity type:Organization
Organization Name:3NATURAL BIO NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NUTRITIONIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TREY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIPLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-439-0882
Mailing Address - Street 1:701 PALOMAR AIRPORT RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-1028
Mailing Address - Country:US
Mailing Address - Phone:833-362-8246
Mailing Address - Fax:833-362-8246
Practice Address - Street 1:701 PALOMAR AIRPORT RD STE 300
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-1028
Practice Address - Country:US
Practice Address - Phone:833-362-8246
Practice Address - Fax:833-362-8246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty