| NPI | 1154029759 |
|---|---|
| Doing Business As | GENETIC NUTRITION COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MARYANNA MCGERVEY Owner 818-636-4968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |