Provider Demographics
NPI:1932435484
Name:NUTRITION WORKS, INC.
Entity Type:Organization
Organization Name:NUTRITION WORKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:KENDRA
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, CDE
Authorized Official - Phone:559-435-1595
Mailing Address - Street 1:9505 N SOMMERVILLE DR
Mailing Address - Street 2:SUITE 102, BOX #7
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5477
Mailing Address - Country:US
Mailing Address - Phone:559-435-1595
Mailing Address - Fax:559-435-5420
Practice Address - Street 1:6594 N 1ST ST
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-3957
Practice Address - Country:US
Practice Address - Phone:559-435-1595
Practice Address - Fax:559-435-5420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA833408133V00000X
CA956430133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty