| NPI | 1093397325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIANA KYLEE SEXTON Owner, Registered Dietitian 719-688-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |