Provider Demographics
NPI:1104557115
Name:NUTRITION UNVEILED, INC
Entity type:Organization
Organization Name:NUTRITION UNVEILED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LYTWYN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN
Authorized Official - Phone:860-810-4673
Mailing Address - Street 1:2789 MADERA DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1823
Mailing Address - Country:US
Mailing Address - Phone:626-639-2175
Mailing Address - Fax:
Practice Address - Street 1:2789 MADERA DR
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-1823
Practice Address - Country:US
Practice Address - Phone:626-639-2175
Practice Address - Fax:877-516-4391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2024-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty