SHANE FIT
Dietitian and Nutritionist in Malibu, CA

License number
California R049213-1
Category
Dietitian and Nutritionist
Type
Dietary Manager
Owner
Name: MRS. MICHELLE MAIDENBERG M.D.
Title: MEDICAL DOCTOR
Phone: (626) 797-9977
Address
Address 2
134 Teatown Rd, Malibu, CA 90265
134 Teatown Rd, Croton On Hudson, NY 10520
National Provider ID: 1295092229
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SHANE FIT at bizstanding.com

SHANE FIT LLC

Croton on Hudson, NY  -  Phoenix, AZ

Industry:
Physical Fitness Facility Hotel/Motel Operation
Registration:
Sep 5, 2012
Addresses:
134 Teatown Rd, Croton on Hudson, NY 10520 (Mailing)
638 N 5 Ave, Phoenix, AZ 85003 (Physical)
State ID:
0801650209
Business type:
Foreign Limited Liability Company
Entity State:
DE
Members:
David Ettenberg (Member, Manager), 134 Teatown Rd, Croton on Hudson, NY 10520,Hannah Ettenberg 2011 Trust (Member), 134 Teatown Rd, Croton on Hudson, NY 10520,Samuel Ettenberg 2011 Trust (Member), 134 Teatown Rd, Croton on Hudson, NY 10520,...
Agent:
National Registered Agents, Inc,350 N St Paul St SUITE 2900, Dallas, TX 75201 (Physical)
TIN:
32048942463

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