| NPI | 1003423625 |
|---|---|
| Other Name | KENRESE THERESA CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX5094) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: FL ND14157) |
| 133N00000X Nutritionist (Licence: IL 164012155) | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2025-06-15 |