| NPI | 1215289459 |
|---|---|
| Doing Business As | NUTRITION CLINIC |
| Entity Type | Organization |
| Authorized Contact | NOEL C JENSEN Managing Member 636-386-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: MO 20120005055) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |