Provider Demographics
NPI:1962363721
Name:CHRISTY WALOWIT NUTRITION SERVICES, LLC
Entity type:Organization
Organization Name:CHRISTY WALOWIT NUTRITION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:WALOWIT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN
Authorized Official - Phone:530-551-0357
Mailing Address - Street 1:1401 21ST ST STE R
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-5226
Mailing Address - Country:US
Mailing Address - Phone:530-551-0357
Mailing Address - Fax:530-551-0358
Practice Address - Street 1:1100 11TH ST FL 3
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-3814
Practice Address - Country:US
Practice Address - Phone:530-551-0357
Practice Address - Fax:530-551-0358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty