NICKLAUS BLAKE PERRY

VENICE, CA
NPI1558048967
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133NN1002X Nutritionist, Nutrition, Education
Enumeration Date2023-06-28
Last Update Date2023-06-28
Business Address
NICKLAUS BLAKE PERRY CNC, CPT, CES
1019 ELKGROVE AVE APT 3
VENICE, CA 90291-6113
Phone number: 818-826-3090
Mailing Address
NICKLAUS BLAKE PERRY CNC, CPT, CES
1019 ELKGROVE AVE APT 3
VENICE, CA 90291-6113
Phone number: