| NPI | 1053033365 |
|---|---|
| Doing Business As | NUTRIALL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | XIAOFANG TAN Registered Dietitian 929-777-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2023-05-09 |