| NPI | 1104530146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE CONTRERAS Registered Dietitian Nutritionist 702-515-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-10-20 |