| NPI | 1194405365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE CONTRERAS Owner 702-423-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-08-28 |