| NPI | 1073380432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA JOHNSON Nutritionist 775-234-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |