NPI | 1003544602 |
---|---|
Doing Business As | PERSEVERE WELLNESS LLC |
Entity Type | Organization |
Authorized Contact | TRACY MINDIOLA Dietitian 763-267-2015 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Enumeration Date | 2022-08-11 |
Last Update Date | 2023-09-12 |