Provider Demographics
NPI:1780483966
Name:FOODTALK NUTRITION LLC
Entity type:Organization
Organization Name:FOODTALK NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESIDERIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEYTA
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:520-260-2443
Mailing Address - Street 1:4386 N. ORACLE RD.
Mailing Address - Street 2:STE 160 #225
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705
Mailing Address - Country:US
Mailing Address - Phone:520-260-2443
Mailing Address - Fax:
Practice Address - Street 1:4386 N ORACLE RD STE 160
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1657
Practice Address - Country:US
Practice Address - Phone:520-260-2443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty