| NPI | 1053712190 |
|---|---|
| Doing Business As | PRACTICAL NUTRITION |
| Entity Type | Organization |
| Authorized Contact | LESLIE JADE ARCHULETA Licensed Nutritionist 505-980-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NM LN-0959) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2015-04-15 |